NPIMap

Organization Active NPI

Golden Valley Memorial Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Clinton, MO
National Provider Identifier
1124946181
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Practice address
1617 N 2ND St
Clinton, MO 64735-1193
Phone
(660) 885-5511
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Mackenzie Conner
Title
Credentialing
Phone
(660) 885-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1617 N 2ND St
Clinton, MO 64735-1193

Mailing address

1617 N 2ND St
Clinton, MO 64735-1193
Phone (660) 885-5511

National Provider Directory

National Provider Directory
Tax ID family
Golden Valley District9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1617 N 2nd St
Clinton, MO 64735

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1124946181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351193",
            "telephone_number": "660-885-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351193",
            "telephone_number": "660-885-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "660-885-5511"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2026; 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.