EXCELSIOR SPRINGS HOSPITAL (NPI# 1205296381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205296381 |
| Entity Type | Organization |
| Organization Name | EXCELSIOR SPRINGS HOSPITAL |
| Other Organization Name | FREEDOM HEALTH CARE |
| Practice Address |
1700 Rainbow Blvd Excelsior Springs MO 64024-1182 |
| Practice Telephone | 8166306081 |
| Mailing Telephone | 8166306081 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | PETISHA JANE DAVIS (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 8168076228 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
2016003072 | MO | Hospitals |
| Other Name | Type Code |
|---|---|
| Freedom Health Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EXCELSIOR SPRINGS HOSPITAL | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 |
| 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 |
| 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 |
| 1699097899 | Meritas Health Corporation | Internal Medicine | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2010-02-16 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396296893 | Rebekah Christian | General Acute Care Hospital | 39 Mckenzie Rd, High Hill, MO 63350-2907 | 2016-10-19 |
| 1477891406 | Do Not Use | General Acute Care Hospital | 217 Physicians Park Dr, Poplar Bluff, MO 63901-3956 | 2013-01-25 |
| 1548546138 | Black River Community Medical Center | General Acute Care Hospital | 217 Physicians Park Drive, Poplar Bluff, MO 63901-3956 | 2011-10-26 |
| 1992807952 | Irsa Wood Jackson | General Acute Care Hospital | 12 Willow Brook Dr, Saint Louis, MO 63146-5678 | 2006-09-01 |
| 1598710097 | Cah Acquisition Company 6 LLC | General Acute Care Hospital | 105 Hospital Drive, Sweet Springs, MO 65351-2229 | 2006-05-23 |
| 1427506039 | Phelps County Regional Medical Center | General Acute Care Hospital | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-09-13 |
| 1114379153 | Pemiscot Memorial Health System | General Acute Care Hospital | 946 E Reed St, Hayti, MO 63851-1243 | 2016-07-01 |
| 1659764595 | John J. Pershing Vamc | General Acute Care Hospital | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2015-03-17 |
| 1902145436 | Ozarks Medical Center | General Acute Care Hospital | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2013-02-04 |
| 1487807657 | Cooper County Memorial Hospital | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233-2839 | 2008-10-31 |
| Find all providers with the same taxonomy | ||||
| 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.