Organization
GOLDEN VALLEY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY WERTZ (CEO)
(660) 890-7103
Entity
Organization
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7103
(660) 885-8496
Mailing address
1600 N 2ND ST, CLINTON, MO 64735-1192
(660) 890-7103
(660) 885-8496
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
257-35
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800565608
—
MO
Enumeration date
03/29/2007
Last updated
06/06/2016
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