Excelsior Springs City Hospital | |
411 N Pennsylvania Ave Lawson MO 64062-9402 | |
(816) 580-0055 | |
(816) 580-0064 |
Full Name | Excelsior Springs City Hospital |
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Speciality | Clinic/Center |
Location | 411 N Pennsylvania Ave, Lawson, Missouri |
Authorized Official Name and Position | Cameron Meyer (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8166292763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Excelsior Springs City Hospital Po Box 219756 Kansas City MO 64121-9756 Ph: (816) 630-6081 | Excelsior Springs City Hospital 411 N Pennsylvania Ave Lawson MO 64062-9402 Ph: (816) 580-0055 |
NPI Number | 1356916555 |
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Provider Enumeration Date | 05/21/2021 |
Last Update Date | 05/21/2021 |
Medicare PECOS PAC ID | 7315847209 |
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Medicare Enrollment ID | O20210720003240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356916555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Excelsior Springs Physician Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25610 Park Rd N, Lawson, MO 64062 Phone: 816-630-6722 |