MEDICARE: GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1003873266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1602 N 2ND ST
Second Line	:
City	:	CLINTON
State	:	MO
Zip	:	64735-1192
Country	:	US
Telephone Number	:	660-885-8171
Fax Number	:	660-890-8479

Provider Business Practice Location Address
First Line	:	1602 N. 2ND STREET
Second Line	:
City	:	CLINTON
State	:	MO
Zip	:	64735-3201
Country	:	US
Telephone Number	:	660-885-8171
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CRAIG THOMPSON
Credential	:
Telephone Number	:	660-885-5511

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	04/17/2026

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