Organization Active NPI

Harrison County Community Hospital District

Doing business as Harrison County Community Hospital

  • Critical Access Hospital
  • Bethany, MO
National Provider Identifier
1528062569
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
372-16 Issued in MO
Legal business name
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Doing business as
Harrison County Community Hospital
Practice address
514 N 39TH St
Bethany, MO 64424-2706
Phone
(660) 425-2211
Fax
(660) 425-7782
NPI assigned
Jun 8, 2005
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Christina Gillespie
Title
Chief Executive Officer
Phone
(660) 425-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 372-16 MO Primary

Addresses

Primary practice location

514 N 39TH St
Bethany, MO 64424-2706

Mailing address

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

Other names 1

  • Harrison County Community Hospital Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040907001047 MO Part B Supplier - Clinic/Group Practice 4587630926 Receives reassigned benefits from 33 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bethany, MO; Eagleville, MO; Pattonsburg, MO
O20071201000173 MO Part A Provider - Critical Access Hospital 4587630926 Receives reassigned benefits from 54 practitioners
Practice locations: Bethany, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528062569. Details of each certification follow.

Hospital certification: CCN 261312

Legal name
HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT
Doing business as
HARRISON COUNTY COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2001
Last certification
Nov 9, 2022
Beds
19
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
514 N 39TH St
Bethany, MO 64424-2706
Other Hospital Practice Location

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).

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Harrison County Community HospitalCCN 261312 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Harrison Co Community H4 organizations share this tax ID, including this one
Part of
Harrison Co Community H

Other organizations with this tax ID 3

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

Locations

110 Central Ave
Pattonsburg, MO 64670
Phone (660) 367-2218

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 Corporate OfficerChief Executive Officer Jan 30, 2017 100%
W-2 Managing EmployeeChief Executive Officer Jan 30, 2017 100%
Operational/Managerial ControlChief Executive Officer Jan 30, 2017 100%
Sheila Robertson Individual Corporate Director Oct 1, 2001
Kenneth Chad Lambert Individual W-2 Managing EmployeeMD; Sep 24, 2012
Alicia Hendren Individual W-2 Managing EmployeeChief Operating Officer Nov 23, 1998
Harrison County Community Hospital District Organization, Bethany, MO 5% Or Greater Direct Ownership Interest Oct 1, 2001 100%
Operational/Managerial Control Oct 1, 2001 100%
Glenda Ellis Individual Corporate DirectorDirector Apr 5, 2016 100%
Operational/Managerial ControlDirector Apr 5, 2016 100%
Amanda Gruver Individual W-2 Managing EmployeeAdministrative Assistant May 1, 2025
Jamie L Smith Individual W-2 Managing EmployeeBusiness Office Manager Jul 30, 2013
Operational/Managerial Control Jul 30, 2013
Linda Eivins Individual Operational/Managerial ControlSecretary on Board of Directors Jan 1, 2020
Alan Hamilton Individual Corporate DirectorBoard Member Jan 1, 2019
Glenn Cox Individual Corporate Director Oct 1, 2001
Kelvin Cox Individual Operational/Managerial ControlBoard of Director Oct 1, 2024
Renee Fordyce Individual Corporate Director May 23, 2011

Owners & managing parties with NPI records 5

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
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
HCCH Pattonsburg Medical ClinicPattonsburg, MO, CCN 268813 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jun 1, 2025
Jun 1, 2025

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.

Practitioners & affiliated clinicians

Practitioners 86

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 86

Affiliated clinicians 97

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

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1528062569",
    "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": "660-425-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRISON COUNTY COMMUNITY HOSPITAL DISTRICT",
        "enumeration_date": "2005-06-08",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "660-425-2211"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "372-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison County Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harrison County Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethany, MO

Sources for this page

Verify at the official NPI Registry.