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NPI Code Detail

MEDICARE: EXCELSIOR SPRINGS CITY HOSPITAL

MEDICARE: EXCELSIOR SPRINGS CITY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital286-27MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609870310
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCELSIOR SPRINGS CITY HOSPITAL
Provider Business Mailing Address
First Line : 1700 RAINBOW BLVD
Second Line :
City : EXCELSIOR SPRINGS
State : MO
Zip : 64024-1182
Country : US
Telephone Number : 816-630-6081
Fax Number : 816-629-2707
Provider Business Practice Location Address
First Line : 1700 RAINBOW BLVD
Second Line :
City : EXCELSIOR SPRINGS
State : MO
Zip : 64024-1182
Country : US
Telephone Number : 816-630-6081
Fax Number : 816-629-2707
Authorized Official
Title or Position : CEO
Name : SALLY S NANCE
Credential :
Telephone Number : 816-629-2739
Provider Enumeration Date : 06/09/2005
Last Update Date : 09/01/2011

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1740387174 — EXCELSIOR SPRINGS CITY HOSPITAL
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1285733923 — EXCELSIOR SPRINGS CITY HOSPITAL
Practice Location Address:
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO
64024-1182
Practice Phone: 816-630-6081
Practice Fax: 816-629-2707

Directions to “EXCELSIOR SPRINGS CITY HOSPITAL ” Practice Location

Language Start Address Practice Location
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