NPIMap

Organization Active NPI

Golden Valley Memorial Hospital Home Services

  • Home Health Agency
  • Clinton, MO
National Provider Identifier
1992873889
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN VALLEY MEMORIAL HOSPITAL HOME SERVICES
Practice address
1703 N 2ND St.
Clinton, MO 64735
Phone
(660) 885-5088
Fax
(660) 885-7756
NPI assigned
Dec 1, 2006
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1703 N 2ND St.
Clinton, MO 64735

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
263787905MedicaidMO

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1992873889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NORTH SECOND STREET",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "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": "64735",
            "telephone_number": "660-885-5088",
            "fax_number": "660-885-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY MEMORIAL HOSPITAL HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263787905",
            "state": "MO"
        }
    ],
    "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 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.