NPIMap

Organization Active NPI

Excelsior Springs City Hospital

Doing business as Excelsior Springs Medical Center

  • Anesthesiology Physician
  • Excelsior Springs, MO
National Provider Identifier
1790954402
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
286-28 Issued in MO
Legal business name
EXCELSIOR SPRINGS CITY HOSPITAL
Doing business as
Excelsior Springs Medical Center
Practice address
1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone
(816) 629-2790
Fax
(816) 629-2701
NPI assigned
Feb 27, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sally S Nance
Title
Ceo
Phone
(816) 629-2739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 286-28 MO Primary

Addresses

Primary practice location

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182

Mailing address

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 629-2790

Other identifiers 1

IdentifierTypeStateIssuer
540421609MedicaidMO

Other names 1

  • EXCELSIOR SPRINGS MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excelsior Springs City Ho7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1790954402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RAINBOW BLVD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241182",
            "telephone_number": "816-629-2790",
            "fax_number": "816-629-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RAINBOW BLVD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241182",
            "telephone_number": "816-629-2790",
            "fax_number": "816-629-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR SPRINGS CITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-629-2739"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "286-28",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540421609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCELSIOR SPRINGS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.