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General NPI Number Information
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NPI Number | 1124437918
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Entity Type | Organization
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Legal Business Name | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 675 3RD ST
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City | OSCEOLA
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State | MO
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Zip | 64776-2934
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Country | US
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Telephone | 417-646-2234
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Fax |
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Provider Business Mailing Address
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Address Line | 675 3RD ST
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City | OSCEOLA
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State | MO
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Zip | 64776-2934
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Country | US
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Telephone | 417-646-2234
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Fax | 660-890-8479
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Authorized Official
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Title or Position | CEO
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Name | CRAIG THOMPSON
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Credential |
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Telephone | 660-885-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 066060
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 066060
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License Number State | MO
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