EXCELSIOR SPRINGS CITY HOSPITAL (NPI# 1013017235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013017235 |
| Entity Type | Organization |
| Organization Name | EXCELSIOR SPRINGS CITY HOSPITAL |
| Other Organization Name | EXCELSIOR SPRINGS HOSPITAL |
| Practice Address |
1700 Rainbow Blvd Excelsior Springs MO 64024-1182 |
| Practice Telephone | 8166306081 |
| Practice Fax Number | 8166292707 |
| Mailing Telephone | 8166330608 |
| Mailing Fax Number | 8166292707 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | SALLY S NANCE (CEO) |
| Authorized Official Telephone | 8166292739 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 286-28 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 100421601 | 05 |
| Other Name | Type Code |
|---|---|
| EXCELSIOR SPRINGS HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870310 | Excelsior Springs City Hospital | General Acute Care Hospital | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2005-06-09 |
| 1790954402 | Excelsior Springs City Hospital | Anesthesiology | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2008-02-27 |
| 1447351234 | Excelsior Springs City Hospital | Home Health | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2006-09-26 |
| 1689775264 | Excelsior Springs City Hospital | Skilled Nursing Facility | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2006-09-26 |
| 1740380955 | Excelsior Springs City Hospital | Hospice Care, Community Based | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2006-09-25 |
| 1487754149 | Excelsior Springs City Hospital | Pharmacy | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2006-09-23 |
| 1285733923 | Excelsior Springs City Hospital | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2006-09-21 |
| 1740387174 | Excelsior Springs City Hospital | Medicare Defined Swing Bed Unit | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2006-09-20 |
| Street Address |
1700 RAINBOW BLVD |
| City | EXCELSIOR SPRINGS |
| State | MO |
| Zip Code | 64024-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870310 | Excelsior Springs City Hospital | General Acute Care Hospital | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2005-06-09 |
| 1750938320 | Bethanne F Cordova | Nurse Practitioner | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2019-08-19 |
| 1205296381 | Excelsior Springs Hospital | General Acute Care Hospital | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2016-03-02 |
| 1134589542 | Petisha Davis | Nurse Practitioner | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2016-02-26 |
| 1629491105 | Excelsior Springs Physicians Clinic | Family Medicine | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2014-02-04 |
| 1710300298 | Excelsior Springs Physicians Clinics LLC | Internal Medicine | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2014-02-04 |
| 1497186753 | Ethan R Kent | Social Worker | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2013-12-11 |
| 1811232796 | Excelsior Springs Physician Clinic LLC | Family Medicine | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2012-12-04 |
| 1104173434 | Meritas Health Corporation | Otolaryngology | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2012-08-06 |
| 1962780072 | Deborah Dawn Mcmahon | Behavioral Analyst | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414178 | Allison Gordy | Nurse Practitioner | 10101 N Jesse James Rd., Excelsior Springs, MO 64024 | 2019-02-28 |
| 1508398892 | Holly Nicole Courtney | Occupational Therapist | 1300 Meadowlark Ln, Excelsior Springs, MO 64024 | 2017-03-28 |
| 1063839835 | John Paul Schutz | Family Medicine | 25814 Wornall Road, Excelsior Springs, MO 64024 | 2014-03-18 |
| 1215276977 | Anna M Wells | Nurse Practitioner | 1006 N Jesse James Rd Suite #1, Excelsior Springs, MO 64024 | 2013-01-31 |
| 1326386749 | New Liberty Hospital Corporation | Family Medicine | 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024 | 2013-01-18 |
| 1306132600 | Christopher Cooper | Family Medicine | 199 S. Mccleary Rd, Excelsior Springs, MO 64024 | 2011-06-24 |
| 1295922458 | Dst Inc | Assisted Living Facility | 410 Superior, Excelsior Springs, MO 64024 | 2007-10-01 |
| 1114084738 | Medical Arts Centers Inc | Family Medicine | 950 N Jesse James Rd, Excelsior Spgs, MO 64024 | 2007-01-02 |
| 1376621557 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1018 N Jesse James Rd, Excelsior Springs, MO 64024 | 2006-11-02 |
| 1265464234 | Excelsior Springs 1 Inc | Skilled Nursing Facility | 1410 Hospital Drive, Excelsior Springs, MO 64024 | 2006-07-07 |
| Find all providers in zip 64024 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1417334137 | Holistic Healthcare LLC | Nursing Facility/Intermediate Care Facility | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2015-05-01 |
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
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| City | EXCELSIOR SPRINGS |
| Zip Code | 64024 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.