GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT (NPI# 1033109103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033109103 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
| Other Organization Name | GOLDEN VALLEY MEMORIAL HEALTHCARE HOME SERVICES |
| Practice Address |
1600 North Second St Clinton MO 64735-1192 |
| Practice Telephone | 6608855088 |
| Practice Fax Number | 6608857756 |
| Mailing Telephone | 6608855088 |
| Mailing Fax Number | 6608857756 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | MRS. CHERYL L FOSTER (DIRECTOR) |
| Authorized Official Telephone | 6608855088 |
| Authorized Official Credential | RN, BSN, HCS-D |
| Is Organization Subpart | Y |
| Parent Organization Name | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 257-33 | MO | Agencies |
| Y | 251E00000X | Home Health | 169-25HH | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 580565604 | 05 | |
| MO | 283787901 | 05 | |
| FIRST GUARD | 360840 | 01 | |
| FAMILY HEALTH PARTNERS | 760500 | 01 | |
| MO | 263787905 | 05 | |
| BCBS | 32578013 | 01 |
| Other Name | Type Code |
|---|---|
| Golden Valley Memorial Healthcare Home Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124437918 | Golden Valley Memorial Hospital District | Nurse Practitioner | 286 Chestnut Street, Osceola, MO 64776-0566 | 2014-08-06 |
| 1316995939 | Golden Valley Memorial Hospital District | Clinic/Center | 100 S Tebo St, Windsor, MO 65360-1161 | 2006-05-05 |
| 1003873266 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N. 2nd Street, Clinton, MO 64735-3201 | 2006-04-28 |
| 1396379830 | Golden Valley Memorial Hospital District | Clinic/Center | 603 E Gaines Dr, Clinton, MO 64735-3205 | 2020-02-24 |
| 1669965273 | Golden Valley Memorial Hospital District | Family Medicine | 725 E Ohio St, Clinton, MO 64735 | 2018-06-08 |
| 1346694106 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-04-19 |
| 1710075361 | Golden Valley Memorial Hospital District | General Acute Care Hospital | 1600 N 2nd St, Clinton, MO 64735-1192 | 2006-10-10 |
| 1629166277 | Golden Valley Memorial Hospital District | Rehabilitation Unit | 1600 N 2nd St, Clinton, MO 64735-1192 | 2006-10-10 |
| 1538257183 | Golden Valley Memorial Hospital District | Medicare Defined Swing Bed Unit | 1600 N 2nd St, Clinton, MO 64735-1192 | 2006-10-10 |
| 1366490971 | Golden Valley Memorial Hospital District | Clinic/Center | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-05-05 |
| Street Address |
1600 NORTH SECOND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720127830 | Kenneth E Jones | Radiology | 1600 North Second St, Clinton, MO 64735-1192 | 2007-02-05 |
| 1760552285 | Thomas Gordon Mckenney | Nurse Anesthetist, Certified Registered | 1600 North Second St, Clinton, MO 64735-1192 | 2006-11-09 |
| 1447333083 | Nicholas Joseph Hill | Nurse Anesthetist, Certified Registered | 1600 North Second St, Clinton, MO 64735-1192 | 2006-10-24 |
| 1245313873 | Robert Neil Fisher | Nurse Anesthetist, Certified Registered | 1600 North Second St, Clinton, MO 64735-1192 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383594 | Elite Caregivers Nursing Agency LLC | Home Health | 6821 Purple Lilac Ln, Clinton, MD 20735-4087 | 2020-10-14 |
| 1356950802 | Semicare Health Services, LLC | Home Health | 312 College St Ste E, Clinton, NC 28328-4000 | 2020-07-29 |
| 1619520780 | Balanced Life Home Care Services | Home Health | 65 Old Highway 22 Ste 4, Clinton, NJ 08809-1329 | 2019-07-18 |
| 1922666148 | Tracy Denise Parsons | Home Health | 1501 Highway 80 E Apt B7, Clinton, MS 39056-5361 | 2019-06-03 |
| 1568920312 | Redemption Home Health | Home Health | 15683 Pace Rd, Clinton, LA 70722-5232 | 2019-03-11 |
| 1598221970 | Belinda Denise Carter-williams | Home Health | 1241 Gateway Ave, Apt 5, Clinton, IA 52732-3546 | 2019-02-11 |
| 1801380035 | Bowes Iowa Inc | Home Health | 83 Main Ave, Clinton, IA 52732-2321 | 2018-06-20 |
| 1598258006 | Openheaven Healthcare LLC | Home Health | 11106 Glissade Dr, Clinton, MD 20735-1078 | 2018-06-08 |
| 1124564778 | Pamela Young | Home Health | 5321 W Boniwood Turn, Clinton, MD 20735-4160 | 2017-01-06 |
| 1780095893 | Sherrie Stamps | Home Health | 311 Clinton Blvd Ste A, Clinton, MS 39056-5251 | 2014-05-12 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.