GOLDEN VALLEY MEMORIAL HOSPITAL (NPI# 1578682522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578682522 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY MEMORIAL HOSPITAL |
| Practice Address |
1600 N 2nd St Clinton MO 64735-1192 |
| Practice Telephone | 6608907103 |
| Practice Fax Number | 6608858496 |
| Mailing Telephone | 6608907103 |
| Mailing Fax Number | 6608858496 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | MR. RANDY WERTZ (CEO) |
| Authorized Official Telephone | 6608907103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 257-35 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800565608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861875684 | Golden Valley Memorial Hospital | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-06-30 |
| Street Address |
1600 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801747 | Karl J. Haake | Anesthesiology | 1600 N 2nd St, Clinton, MO 64735-1192 | 2005-09-19 |
| 1770110520 | Aaron Andrew Tjomsland | Physician Assistant | 1600 N 2nd St, Clinton, MO 64735-1192 | 2020-03-23 |
| 1023663770 | Nicole Rebecca Romine | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1192 | 2019-08-08 |
| 1083172415 | Daniel E Roberson | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1297 | 2019-03-05 |
| 1093284549 | Town Square Emergency Associates Pllc | Emergency Medicine | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-11-14 |
| 1235610395 | Anisa Ranay Burdick | Nurse Practitioner | 1600 N 2nd St, Clinton, MO 64735-1297 | 2018-08-27 |
| 1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
| 1992294458 | Aimee Oerke | Dietitian, Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-05-09 |
| 1285174268 | Mary Darling | Social Worker | 1600 N 2nd St, Clinton, MO 64735-1192 | 2017-02-24 |
| 1891242715 | Michelle Shoemaker | Registered Nurse | 1600 N 2nd St, Clinton, MO 64735-1192 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891030524 | Paramedic Services of Illinois Inc | Ambulance | 1410 E Jefferson St, Clinton, IL 61727-1846 | 2012-12-06 |
| 1902954118 | Clinton-hickman County Ambulance Service Inc | Ambulance | 324 James H Phillips Dr, Clinton, KY 42031-0083 | 2007-01-07 |
| 1649363201 | City of Clinton | Ambulance | 611 S 3rd Street, Clinton, IA 52732 | 2006-10-02 |
| 1285673160 | Village of Clinton | Ambulance | 7717 Cleveland Massillon Rd, Clinton, OH 44216-8912 | 2006-06-06 |
| 1164405171 | A-1 Ambulance & Transport, Inc. | Ambulance | 7720 Old Alexandria Ferry Rd, Clinton, MD 20735-1839 | 2005-11-23 |
| 1942538772 | Clinton Township Fire | Ambulance | 501 W Washington St, Clinton, IN 47842-7381 | 2009-12-07 |
| 1598896441 | Clinton Fire Protection District | Ambulance | 145 Ogden Ave, Clinton, WI 53525-9052 | 2007-03-09 |
| 1295898427 | Dr John Warner Hospital | Ambulance | 422 W White St, Clinton, IL 61727-2272 | 2006-12-19 |
| 1134235104 | Clinton Volunteer Fire Department Inc | Ambulance | 35 E Main St, Clinton, CT 06413-2049 | 2006-08-22 |
| 1124015359 | Town of Clinton | Ambulance | 555 Main St, Clinton, MA 01510-2413 | 2005-10-03 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.