Organization Active NPI

Barton County Memorial Hospital

Doing business as Golden City Clinic

  • General Practice Physician
  • Golden City, MO
National Provider Identifier
1144557620
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BARTON COUNTY MEMORIAL HOSPITAL
Doing business as
Golden City Clinic
Practice address
407 Main St.
Golden City, MO 64748
Phone
(417) 537-4311
Fax
(417) 537-4330
NPI assigned
Nov 4, 2009
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
T J Killingsworth
Title
Credentialing
Phone
(417) 681-5248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

407 Main St.
Golden City, MO 64748

Mailing address

407 Main St.
Golden City, MO 64748
Phone (417) 537-4311

Other names 1

  • Golden City Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Barton County Memorial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

407 Main St
Golden City, MO 64748
Phone (417) 537-4311

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1144557620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MAIN ST.",
            "city": "GOLDEN CITY",
            "state": "MO",
            "postal_code": "64748",
            "telephone_number": "417-537-4311",
            "fax_number": "417-537-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MAIN ST.",
            "city": "GOLDEN CITY",
            "state": "MO",
            "postal_code": "64748",
            "telephone_number": "417-537-4311",
            "fax_number": "417-537-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "KILLINGSWORTH",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "417-681-5248"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden City Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.