Active NPI
Golden Valley Memorial Hospital District
- Community Based Hospice Care Agency
- Clinton, MO
National Provider Identifier
1669965273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
- Practice address
- 1703 N 2ND St.
Clinton, MO 64735 - Phone
- (660) 885-5511
- NPI assigned
- Jun 8, 2018
- Organization subpart
- Yes
- Parent organization
- GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mackenzie Richey
- Title
- Credentialing
- Phone
- (660) 885-5511
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1703 N 2ND St.
Clinton, MO 64735
Mailing address
1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-5511
Other names 1
- Twin Lakes Hospice
National Provider Directory
National Provider Directory- Part of
- Golden Valley District
Locations
1703 N 2nd St
Clinton, MO 64735
Phone (660) 885-5088
725 E Ohio St
Clinton, MO 64735
Phone (660) 890-2014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1669965273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N 2ND ST",
"city": "CLINTON",
"state": "MO",
"postal_code": "647351192",
"telephone_number": "660-885-5511"
},
{
"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": "64735",
"telephone_number": "660-885-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT",
"enumeration_date": "2018-06-08",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "RICHEY",
"authorized_official_first_name": "MACKENZIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "660-885-5511"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Twin Lakes Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Twin Lakes Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, MO
- Golden Valley Memorial Hospital District
- Golden Valley Memorial Hospital District
- Golden Valley Memorial Hospital District
- Golden Valley Memorial Hospital District
- Golden Valley Memorial Hospital District
- Golden Valley Memorial Hospital District
- Golden Valley Memorial Hospital Home Services
- Golden Valley Memorial Hosptial
- Golden Valley Serenity Spa, LLC
- Kathleen Gravette, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.