Organization
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Active
Other names
Golden Valley Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE D ADKINS (ADMINISTRATOR)
(660) 885-8171
Entity
Organization
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7870000
PTAN
MO
Enumeration date
04/19/2016
Last updated
04/19/2016
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