Cedar County Memorial Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · El Dorado Springs, MO
NPI 1457474249 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1457474249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- CEDAR COUNTY MEMORIAL HOSPITAL
- Practice address
- 1401 S Park St
El Dorado Springs, MO 64744-2037 - Phone
- (417) 876-2511
- Fax
- (417) 876-3812
- NPI assigned
- Apr 9, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- CEDAR COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Donald L Carpenter
- Title
- Ceo
- Phone
- (417) 876-2511
Owners & managing parties with NPI records 4
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 4
Member organizations 2
Related certifications (CCN) 1
Facilities with the same owner 2
Practitioners 56
-
Russell Richard Kemm, D.O.
-
Brooke Nicole McPeak, FNP-C
-
Grant Tyler Pierson, D.O.
-
David Sean Smith, D.O.
-
Jenifer C. Webb, NP
-
Katherine M Williams, FNP-C
-
David Zuehlke, MD
-
Irene A Carrothers, M.D.
-
Russell L Cowles III, M.D.
-
Lee-Anne J Millas, APN, FNP-C
-
Asha R Schweitzer, D.O.
-
Brett A Studley, MD
-
Richard A White, MD
-
Jeremy Stayton, MD
-
Mark Darl Brecheisen Jr., D.O.
-
Charles A. Featherly, D.O.
Affiliated clinicians 1
-
Russell Richard Kemm, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Hospital certification: CCN 26Z323
- Legal name
- CEDAR COUNTY MEMORIAL HOSPITAL
- Doing business as
- CEDAR COUNTY MEMORIAL HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 1401 S Park St
El Dorado Springs, MO 64744-2037
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Donald Lee Carpenter |
Corporate Officer |
Mar 2, 2026 | |
| Corporate Director |
Mar 2, 2026 | ||
| W-2 Managing Employee |
Mar 2, 2026 | ||
| Carla Gilbert |
Corporate Officer |
Feb 1, 2022 | |
| Corporate Director |
Feb 1, 2022 | ||
| W-2 Managing Employee |
Feb 1, 2022 | ||
| Gregory Scott Castor |
Corporate Officer |
Nov 13, 2025 | |
| Peggy Kenney |
Corporate Officer |
Apr 15, 2025 | |
| Cedar County Memorial Hospital |
Operational/Managerial Control | Dec 31, 1991 | 100% |
| Katie McGee |
Corporate Officer |
Apr 11, 2022 | |
| Melissa Ann Gallette |
Corporate Officer |
Apr 16, 2024 | |
| Marvin Manring |
Corporate Officer |
Apr 16, 2018 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Cedar County Memorial Hospital |
Hospital | Operational/Managerial Control (100%) | Dec 31, 1991 |
| CCMH Medical Mall Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Oct 30, 1995 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130530000388 | MO | Part a Provider - Critical Access Hospital | 7315841129 | Practice locations: El Dorado Springs, MO |
National Provider Directory
- Part of
- Cedar County Family Clinic
Locations
807 Owens Mill Rd
Stockton, MO 65785
Phone (417) 276-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
1401 S Park St
El Dorado Springs, MO 64744-2037
Mailing address
1401 S Park St
El Dorado Springs, MO 64744-2037
Phone (417) 876-2511
Other providers in El Dorado Springs, MO
- Tyrell Bee
- Theodore Trent Bozarth
- Charles William Brinker
- Rick D. Casey
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
- Cedar County Memorial Hospital
All providers in El Dorado Springs, MO · Medicare Defined Swing Bed Hospital Unit in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.