NPIMap

Organization Active NPI

Golden Valley Memorial Hospital District

Doing business as Golden Valley Medical - Clinton

  • Rural Health Clinic/Center
  • Clinton, MO
National Provider Identifier
1003873266
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Doing business as
Golden Valley Medical - Clinton
Practice address
1602 N. 2ND Street
Clinton, MO 64735-3201
Phone
(660) 885-8171
NPI assigned
Apr 28, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig ThompsonNPI 1841254091
Title
Ceo
Phone
(660) 885-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1602 N. 2ND Street
Clinton, MO 64735-3201

Mailing address

1602 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171

Other names 1

  • Golden Valley Medical - Clinton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040302001332 MO Part A Provider - Rural Health Clinic 4688561814 Practice locations: Clinton, MO
O20040407001299 MO Part B Supplier - Clinic/Group Practice 4688561814 Receives reassigned benefits from 227 practitioners
7 other NPIs on this enrollment
Practice locations: Clinton, MO; Osceola, MO; Warsaw, MO; Windsor, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003873266. Details of each certification follow.

Rural health clinic certification: CCN 268584

Legal name
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Doing business as
GOLDEN VALLEY MEDICAL-CLINTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 25, 2004
Last certification
Nov 22, 2019
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Incorporated
Jun 10, 2019 in MO
Enrollment address
1602 N 2ND St
Clinton, MO 64735-1192
Related CCNs
260175

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
GVMH Emergency Physicians

Locations

1602 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meredith Cooper Individual W-2 Managing EmployeeDirector of Operations Apr 4, 2006
Kyle D Adkins Individual Corporate OfficerAdministrator Nov 1, 2005
W-2 Managing EmployeeAdministrator Nov 1, 2005
Tammy Nadler Individual W-2 Managing EmployeeCfo Jul 1, 2015

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Golden Valley Medical-WarsawWarsaw, MO, CCN 268588 Rural health clinic Operational/Managerial Control
Other		 Apr 4, 2004
Apr 4, 2004
Golden Valley Medical - OsceolaOsceola, MO, CCN 268725 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 229

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1003873266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-885-8171",
            "fax_number": "660-890-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N. 2ND STREET",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647353201",
            "telephone_number": "660-885-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-885-5511"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Valley Medical - Clinton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Valley Medical - Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.