GOLDEN VALLEY MEMORIAL HOSPITAL (NPI# 1861875684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861875684 |
| Entity Type | Organization |
| Organization Name | GOLDEN VALLEY MEMORIAL HOSPITAL |
| Other Organization Name | GOLDEN VALLEY MEDICAL |
| Practice Address |
1602 N 2nd St Clinton MO 64735-1192 |
| Practice Telephone | 6608858171 |
| Practice Fax Number | 6608908013 |
| Mailing Telephone | 6608858171 |
| Mailing Fax Number | 6608908013 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | KYLE D ADKINS (ADMINISTRATOR) |
| Authorized Official Telephone | 6608858171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014022519 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Golden Valley Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578682522 | Golden Valley Memorial Hospital | Ambulance | 1600 N 2nd St, Clinton, MO 64735-1192 | 2007-03-29 |
| Street Address |
1602 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288834 | Candice J. Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2005-10-12 |
| 1760967533 | Heather Dains | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-09-27 |
| 1356820179 | Brenda Gale Messer | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-08-13 |
| 1043705080 | Taylor Marie Lincoln | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-06-22 |
| 1144767302 | Melondy Ann Bowland | Social Worker | 1602 N 2nd St, Clinton, MO 64735-1192 | 2017-01-26 |
| 1538605001 | Angela Heck | Social Worker | 1602 N 2nd St, Clinton, MO 64735 | 2017-01-09 |
| 1346694106 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-04-19 |
| 1811357411 | Luke Schumacher | Physician Assistant | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-02-25 |
| 1528443264 | Renee Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-07-23 |
| 1982085676 | Aneel Ahmed Ursani | Psychiatry & Neurology | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-06-18 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on GOLDEN VALLEY MEMORIAL HOSPITAL.
| 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.