# GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629166277
- **Authorized official:** MR. RANDY WERTZ (CEO)
- **Authorized official phone:** (660) 890-7103

## Contact information

- **Practice address:** 1600 N 2ND ST, CLINTON, MO 64735-1192
- **Practice address phone:** (660) 890-7103
- **Practice address fax:** (660) 885-8496
- **Mailing address:** 1600 N 2ND ST, CLINTON, MO 64735-1192
- **Mailing address phone:** (660) 890-7103
- **Mailing address fax:** (660) 885-8496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 257-34 | MO | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 07/06/2010