EXCELSIOR SPRINGS CITY HOSPITAL (NPI# 1285733923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285733923 |
| 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 | 2006-09-21 |
| Last Update Date | 2012-07-25 |
| 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 |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities | |
| N | 207Q00000X | Family Medicine | 119789 | MO | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | MO | Allopathic & Osteopathic Physicians | |
| N | 207X00000X | Orthopaedic Surgery | MO | Allopathic & Osteopathic Physicians | |
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 540421609 | 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 |
| 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 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947696 | Meredith Adair Leach | Emergency Medicine | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 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.