NPIMap

Organization Active NPI

Iron County Hospital District

Doing business as Iron County Hospital Family Care Clinic

  • Rural Health Clinic/Center
  • Pilot Knob, MO
National Provider Identifier
1073799367
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
IRON COUNTY HOSPITAL DISTRICT
Doing business as
Iron County Hospital Family Care Clinic
Iron County Medical Center
Practice address
301 N Highway 21
Pilot Knob, MO 63663-7862
Phone
(573) 546-8051
NPI assigned
Jan 16, 2008
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christina Campbell
Title
Financial Counselor Credentialing
Phone
(573) 546-8115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

301 N Highway 21
Pilot Knob, MO 63663-7862

Mailing address

PO Box 548
301 North Highway 21
Pilot Knob, MO 63663-0548
Phone (573) 546-1260

Other names 2

  • IRON COUNTY HOSPITAL FAMILY CARE CLINIC Doing business as
  • Iron County Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070517000093 MO Part B Supplier - Clinic/Group Practice 0941207526 Receives reassigned benefits from 55 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pilot Knob, MO
O20091008000706 MO Part A Provider - Rural Health Clinic 0941207526 Practice locations: Pilot Knob, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073799367. Details of each certification follow.

Rural health clinic certification: CCN 268642

Legal name
IRON COUNTY HOSPITAL DISTRICT
Doing business as
IRON COUNTY HOSPITAL FAMILY CARE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 12, 2010
Last certification
Oct 2, 2023
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
301 N Hwy 21
Pilot Knob, MO 63663-0329
Related CCNs
261336

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1084931Iron County Hospital Family Care Clinic301 N Highway 21, Pilot Knob, MO 63663Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Iron County Hospital District Organization, Pilot Knob, MO Non-profit Other Feb 27, 2014 100%
Billie Jo Russell Individual W-2 Managing EmployeeInterim Ceo Dec 31, 2025
Brittany Mooney Individual W-2 Managing EmployeeCfo Sep 18, 2025
William Thompson Individual Corporate DirectorBoard President May 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1073799367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "address_2": "301 NORTH HIGHWAY 21",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636630548",
            "telephone_number": "573-546-1260",
            "fax_number": "573-546-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HIGHWAY 21",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636637862",
            "telephone_number": "573-546-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "FINANCIAL COUNSELOR CREDENTIALING",
        "authorized_official_telephone_number": "573-546-8115"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRON COUNTY HOSPITAL FAMILY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IRON COUNTY HOSPITAL FAMILY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iron County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pilot Knob, MO

Sources for this page

Verify at the official NPI Registry.