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Organization
EXCELSIOR SPRINGS HOSPITAL
Active
Organization
EXCELSIOR SPRINGS HOSPITAL
Active
Other names
Freedom Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
PETISHA JANE DAVIS FNP-C (FAMILY NURSE PRACTITIONER)
(816) 807-6228
Entity
Organization
Contact information
Practice address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 630-6081
Mailing address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 630-6081
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
2016003072
MO
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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