NPIMap

Organization Active NPI

Iron County Hospital District

Doing business as Iron County Medical Center

  • Critical Access Hospital
  • Pilot Knob, MO
National Provider Identifier
1477648178
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
501-4 Issued in MO
Legal business name
IRON COUNTY HOSPITAL DISTRICT
Doing business as
Iron County Medical Center
Practice address
301 N Highway 21
Pilot Knob, MO 63663-0548
Phone
(573) 546-1260
Fax
(573) 546-8088
NPI assigned
Oct 4, 2006
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
Brittney Mooney
Title
Cfo
Phone
(573) 546-8096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 501-4 MO Primary

Addresses

Primary practice location

301 N Highway 21
Pilot Knob, MO 63663-0548

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
019899608MedicaidMO

Other names 1

  • Iron County Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061104000718 MO Part A Provider - Critical Access Hospital 0941207526 Receives reassigned benefits from 68 practitioners
Practice locations: Pilot Knob, MO
O20070517000093 MO Part B Supplier - Clinic/Group Practice 0941207526 Receives reassigned benefits from 55 practitioners
1 other NPI on this enrollment
Practice locations: Pilot Knob, MO
O20090723000170 MO Part A Provider - Critical Access Hospital 0941207526 Receives reassigned benefits from 2 practitioners
Practice locations: Pilot Knob, MO

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1477648178. Details of each certification follow.

Hospital certification: CCN 261336

Legal name
IRON COUNTY HOSPITAL DISTRICT
Doing business as
IRON COUNTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 21, 2007
Last certification
Jun 28, 2023
Beds
15
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
301 N Hwy 21
Pilot Knob, MO 63663-0548
Other Hospital Practice Location

Hospital certification: CCN 26Z336

Legal name
IRON COUNTY HOSPITAL DISTRICT
Doing business as
IRON COUNTY MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
301 North Highway 21
Pilot Knob, MO 63663-0548

Hospital certification: CCN 260218

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
IRON COUNTY HOSPITAL
Certification status
Terminated Other: provider status change, Mar 20, 2007
Provider type (POS)
Hospital – Short-term
Participating since
Feb 14, 2007
Last certification
Dec 29, 2006
Beds
15
Ownership / control type
Hospital district or authority
Facility address
301 North Highway 21
Pilot Knob, MO 63663

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Iron County Medical CenterCCN 261336 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
26D1061170Iron County Medical Center301 N Hwy 21, Pilot Knob, MO 63663ComplianceApr 15, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Billie Jo Russell Individual W-2 Managing EmployeeInterim Ceo Dec 31, 2025
W-2 Managing EmployeeInterim Ceo Dec 31, 2025 100%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Iron County Hospital Family Care ClinicPilot Knob, MO, CCN 268642 Rural health clinic Other (100%) Feb 27, 2014

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 89

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 89

Affiliated clinicians 50

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1477648178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "address_2": "301 NORTH HWY 21",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "63663",
            "telephone_number": "573-546-1260",
            "fax_number": "573-546-8088"
        },
        {
            "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": "636630548",
            "telephone_number": "573-546-1260",
            "fax_number": "573-546-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-546-8096"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "501-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019899608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "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.