EXCELSIOR SPRINGS CITY HOSPITAL (NPI# 1609870310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609870310 |
| 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 | 8166306081 |
| Mailing Fax Number | 8166292707 |
| Enumeration Date | 2005-06-09 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
286-27 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010421600 | 05 |
| Other Name | Type Code |
|---|---|
| EXCELSIOR SPRINGS HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013017235 | Excelsior Springs City Hospital | Nursing Facility/Intermediate Care Facility | 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 |
|---|---|---|---|---|
| 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 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356689905 | Southeast Health Center of Reynolds County LLC | General Acute Care Hospital | 100 Hwy 21, Ellington, MO 63638-7943 | 2013-01-16 |
| 1467789222 | Va Medical Center In St.louis | General Acute Care Hospital | 9830 Eastdell Dr, Saint Louis, MO 63136-1915 | 2009-11-14 |
| 1750512042 | Vicky Laurine Simbro | General Acute Care Hospital | 4505 Cove Rd, Osage Beach, MO 65065-2307 | 2009-08-04 |
| 1710177480 | Wisam Hassan Ali Al Badr | General Acute Care Hospital | 3635 Grand Blvd, Saint Louis, MO 63110-2539 | 2007-07-30 |
| 1619179561 | Saint Louis University Medical Center | General Acute Care Hospital | 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 | 2007-06-04 |
| 1962578609 | Hermann Area Hospital District | General Acute Care Hospital | 509 West 18th St, Hermann, MO 65041 | 2006-11-27 |
| 1477648178 | Iron County Hospital District | General Acute Care Hospital | 301 N Highway 21, Pilot Knob, MO 63663-0548 | 2006-10-04 |
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1912948308 | Saint Lukes Hospital of Chillicothe | General Acute Care Hospital | 2799 N Washington, Chillicothe, MO 64601-2902 | 2006-06-09 |
| 1720039605 | Cedar County Memorial Hospital | General Acute Care Hospital | 1401 S Park St, El Dorado Springs, MO 64744-2037 | 2006-05-15 |
| 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.