Barton County Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

268625 Issued in MO

Legal business name

BARTON COUNTY MEMORIAL HOSPITAL

Doing business as

Golden City Clinic

Practice address

407 Main Street
Golden City, MO 64748

Phone

(417) 537-4311

Fax

(417) 537-4330

NPI assigned

Oct 2, 2007

Last updated

May 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. T J Killingsworth

Title

Clinic Business Coordinator

Phone

(417) 537-4311

Specialties & licenses 6

Addresses

Other identifiers 4

Other names 1

• Golden City Clinic Doing business as

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1790972909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 MAIN STREET",
            "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 STREET",
            "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": "2007-10-02",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "KILLINGSWORTH",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "417-537-4311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "268625",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "086955",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "073423",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "101370",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "106158",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "105928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207607905",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS A. HOPKINS MD",
            "identifier": "1689717456",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428676829",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790972909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden City Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barton County Memorial Hospital (Golden City Clinic)
• City of Golden City
• Cox Barton County Hospital (Golden City Clinic)
• Johnny Leo Divine
• Golden City R-III Schools
• Alyssa Lynn Jensen

• Rural Health Clinic/Center in Golden City, MO
• Providers in Golden City, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.