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CAH261322-00 Excelsior Spring City Hospital DBA Excelsior Springs Hospital (Active)
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Main Details
Name
Excelsior Spring City Hospital DBA Excelsior Springs Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261322-00
Medicare Provider Number
261322
Additional Details
Current Program Status
Active
Registration Date
8/2/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/2/2011
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Excelsior Springs Hospital
Kristen Dehart, CEO
(816) 629-2739
Primary Contact
Excelsior Springs Hospital
Matt Untch, Chief Financial Officer
(816) 629-2763
Addresses
Street Address
1700 Rainbow Blvd
Excelsior Springs, MO 64024
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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