Healthcare Provider Details

I. General information

NPI: 1124437918
Provider Name (Legal Business Name): GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 3RD ST
OSCEOLA MO
64776-2934
US

IV. Provider business mailing address

675 3RD ST
OSCEOLA MO
64776-2934
US

V. Phone/Fax

Practice location:
  • Phone: 417-646-2234
  • Fax:
Mailing address:
  • Phone: 417-646-2234
  • Fax: 660-890-8479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number066060
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number066060
License Number StateMO

VIII. Authorized Official

Name: CRAIG THOMPSON
Title or Position: CEO
Credential:
Phone: 660-885-5511