| Organization Name: | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
| NPI Number: | 1003873266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY WERTZ (CEO) |
| Mailing Address: | 1602 N. 2nd Street Clinton |
| State: | MO US |
| Postal Code: | 647353201 |
| Phone Number: | 6608858171 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 11/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |