# EXCELSIOR SPRINGS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freedom Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205296381
- **Authorized official:** PETISHA JANE DAVIS FNP-C (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (816) 807-6228

## Contact information

- **Practice address:** 1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
- **Practice address phone:** (816) 630-6081
- **Mailing address:** 1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
- **Mailing address phone:** (816) 630-6081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 2016003072 | MO | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016