| Organization Name: | EXCELSIOR SPRINGS HOSPITAL |
| NPI Number: | 1205296381 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETISHA JANE DAVIS (FAMILY NURSE PRACTITIONER) |
| Mailing Address: | 1700 Rainbow Blvd Excelsior Springs |
| State: | MO US |
| Postal Code: | 640241182 |
| Phone Number: | 8166306081 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2016 |
| NPI Last Update Date: | 03/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 2016003072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |