| Golden City Clinic | |
|
403 Main St Golden City MO 64748-8266 | |
| (417) 537-4311 | |
| (417) 537-4330 |
| Full Name | Golden City Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 Main St, Golden City, Missouri |
| Authorized Official Name and Position | Daniel Roth (VP OF OPERATIONS) |
| Authorized Official Contact | 4172693014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden City Clinic Po Box 7411626 Chicago IL 60674-5626 | Golden City Clinic 403 Main St Golden City MO 64748-8266 Ph: (417) 537-4311 |
| NPI Number | 1295241784 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 12/19/2025 |
| Certification Date | 12/19/2025 |
| Medicare PECOS PAC ID | 8820329782 |
|---|---|
| Medicare Enrollment ID | O20191101001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295241784 | NPI | - | NPPES |
| 268762 | Other | MO | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Golden City Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Main St., Golden City, MO 64748 Phone: 417-537-4311 Fax: 417-537-4330 |
Golden City Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Main Street, Golden City, MO 64748 Phone: 417-537-4311 Fax: 417-537-4330 |