NPIMap

Organization Active NPI

Harrison County Community Hospital District

  • Rural Health Clinic/Center
  • Pattonsburg, MO
National Provider Identifier
1184423329
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Practice address
110 Central Ave
Pattonsburg, MO 64670-8300
Phone
(660) 425-2211
Fax
(660) 425-7782
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Christina Gillespie
Title
Ceo
Phone
(660) 425-2211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

110 Central Ave
Pattonsburg, MO 64670-8300

Mailing address

514 N 39TH St
Bethany, MO 64424-2706
Phone (660) 425-2211

Other names 1

  • HCCH Pattonsburg Medical Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250821004530 MO Part A Provider - Rural Health Clinic 4587630926 Practice locations: Pattonsburg, MO

Rural health clinic certification: CCN 268813

Legal name
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Doing business as
HCCH PATTONSBURG MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 14, 2026
Last certification
Apr 14, 2026
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
110 Central Ave
Pattonsburg, MO 64670-8300
Related CCNs
261312

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
North Missouri Emerg Phys4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Christina Gillespie Individual Operational/Managerial ControlChief Executive Officer Dec 5, 2016
Beverly Shaul Individual W-2 Managing EmployeeChief Nursing Officer Jan 2, 2024
Sheila Robertson Individual Operational/Managerial ControlVice President of Board of Director Jan 1, 2000
Alicia Hendren Individual W-2 Managing EmployeeChief Operating Officer Nov 23, 1998
Douglas Brandt Individual W-2 Managing EmployeeChief Financial Officer Oct 8, 2019 100%
Harrison County Community Hospital District Organization, Bethany, MO 5% Or Greater Direct Ownership Interest Jun 1, 2025 100%
Operational/Managerial Control Jun 1, 2025 100%
Glenda Ellis Individual Operational/Managerial ControlBoard Member Jan 1, 2016
Jamie L Smith Individual W-2 Managing EmployeeRevenue Cycle Director Sep 27, 2010
Linda Eivins Individual Operational/Managerial ControlBoard Member Jan 1, 2020
Alan Hamilton Individual Operational/Managerial ControlBoard Member Jan 1, 2018
Glenn Cox Individual Operational/Managerial ControlPresident of Board of Directors Jan 1, 1990
Kelvin Cox Individual Operational/Managerial ControlBoard Member Jan 1, 2024
Renee Fordyce Individual Operational/Managerial ControlBoard Member Jan 1, 2011

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harrison County Community HospitalBethany, MO, CCN 261312 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2001
Oct 1, 2001
HCCH Medical ClinicBethany, MO, CCN 268649 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 May 3, 2010
May 3, 2010
North Harrison Medical ClinicEagleville, MO, CCN 268714 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 14, 2014
Jul 14, 2014

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1184423329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N 39TH ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242706",
            "telephone_number": "660-425-2211",
            "fax_number": "660-425-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CENTRAL AVE",
            "city": "PATTONSBURG",
            "state": "MO",
            "postal_code": "646708300",
            "telephone_number": "660-425-2211",
            "fax_number": "660-425-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-425-2211"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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": "HCCH Pattonsburg Medical Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HCCH Pattonsburg Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pattonsburg, MO

Sources for this page

Verify at the official NPI Registry.