Organization
GOLDEN VALLEY MEMORIAL HOSPITAL HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH COOPER (CLINIC ADMINISTRATOR)
(660) 885-8171
Entity
Organization
Contact information
Practice address
1703 N 2ND ST., CLINTON, MO 64735
(660) 885-5088
(660) 885-7756
Mailing address
1600 NORTH SECOND STREET, CLINTON, MO 64735
(660) 885-5088
(660) 885-7756
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263787905
—
MO
Enumeration date
12/01/2006
Last updated
02/23/2023
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