NPIMap

Organization Active NPI

Golden Valley Memorial Hospital District

Doing business as Golden Valley Memorial Healthcare Home Services

  • Home Health Agency
  • Clinton, MO
National Provider Identifier
1033109103
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
169-25HH Issued in MO
Legal business name
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Doing business as
Golden Valley Memorial Healthcare Home Services
Practice address
1703 N 2ND St.
Clinton, MO 64735-1192
Phone
(660) 885-5088
Fax
(660) 885-7756
NPI assigned
Oct 28, 2005
Organization subpart
Yes
Parent organization
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Meredith Cooper
Title
Clinic Administrator
Phone
(660) 885-8171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 257-33 MO
Home Health Agency 251E00000X 169-25HH MO Primary

Addresses

Primary practice location

1703 N 2ND St.
Clinton, MO 64735-1192

Mailing address

1600 North Second St
Clinton, MO 64735-1192
Phone (660) 885-5088

Other identifiers 6

IdentifierTypeStateIssuer
283787901MedicaidMO
360840OtherFIRST GUARD
32578013OtherBCBS
580565604MedicaidMO
760500OtherFAMILY HEALTH PARTNERS
263787905MedicaidMO

Other names 1

  • Golden Valley Memorial Healthcare Home Services Doing business as

National Provider Directory

National Provider Directory
Part of
Golden Valley Memorial Hospital Home Services

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1033109103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NORTH SECOND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-885-5088",
            "fax_number": "660-885-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N 2ND ST.",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-885-5088",
            "fax_number": "660-885-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
        "enumeration_date": "2005-10-28",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "660-885-8171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "257-33",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "169-25HH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283787901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "360840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32578013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580565604",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "760500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263787905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Valley Memorial Healthcare Home Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Valley Memorial Healthcare Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.