Organization
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Active
Parent organization
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Other names
Golden Valley Memorial Healthcare Home Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Authorized official
MEREDITH COOPER (CLINIC ADMINISTRATOR)
(660) 885-8171
Entity
Organization
Contact information
Practice address
1703 N 2ND ST., CLINTON, MO 64735-1192
(660) 885-5088
(660) 885-7756
Mailing address
1600 NORTH SECOND ST, CLINTON, MO 64735-1192
(660) 885-5088
(660) 885-7756
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
169-25HH
MO
251E00000X
Home Health Agency
257-33
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263787905
—
MO
05
—
283787901
—
MO
01
—
32578013
BCBS
—
01
—
360840
FIRST GUARD
—
05
—
580565604
—
MO
01
—
760500
FAMILY HEALTH PARTNERS
—
Enumeration date
10/28/2005
Last updated
02/23/2023
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