| Excelsior Springs Physicians Clinic | |
| 
					1700 Rainbow Blvd Excelsior Springs MO 64024-1182  | |
| (816) 629-2623 | |
| (816) 629-2722 | 
| Full Name | Excelsior Springs Physicians Clinic | 
|---|---|
| Speciality | Family Medicine - Adolescent Medicine | 
| Location | 1700 Rainbow Blvd, Excelsior Springs, Missouri | 
| Authorized Official Name and Position | Jennifer L Boomgarden (PHYSICIANS PRACTICE MANAGER) | 
| Authorized Official Contact | 8166292623 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Excelsior Springs Physicians Clinic 1010 N Jesse James Rd Excelsior Springs MO 64024-1202 Ph: (816) 630-6722  | Excelsior Springs Physicians Clinic 1700 Rainbow Blvd Excelsior Springs MO 64024-1182 Ph: (816) 629-2623  | 
| NPI Number | 1629491105 | 
|---|---|
| Provider Enumeration Date | 02/04/2014 | 
| Last Update Date | 02/04/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629491105 | NPI | - | NPPES | 
| MA 4388 | Other | MO | MEDICARE ID# | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | R6J43 (Missouri) | Primary | 
Northland Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-0900 Fax: 816-637-3250  | |
Nurture Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 463 S Thompson Ave, Excelsior Springs, MO 64024 Phone: 816-812-1988  | |
New Liberty Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024 Phone: 816-407-4700 Fax: 816-407-4701  | |
Momentum Chiropractic And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 463 S Thompson Ave, Excelsior Springs, MO 64024 Phone: 913-461-9070  | |
Bartlett Family Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1236 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-6699 Fax: 816-637-2028  | |
Excelsior Springs Physicians Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-2623 Fax: 816-629-2722  |