NPIMap

Organization Active NPI

Community Memorial Hospital District

Doing business as Ellett Memorial Hospital

  • Critical Access Hospital
  • Appleton City, MO
National Provider Identifier
1609894716
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
270-32 Issued in MO
Legal business name
COMMUNITY MEMORIAL HOSPITAL DISTRICT
Doing business as
Ellett Memorial Hospital
Practice address
610 N Ohio St
Appleton City, MO 64724-1609
Phone
(660) 476-2111
Fax
(660) 476-5591
NPI assigned
Jul 17, 2006
Last updated
Jun 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Authorized official

Name
Mrs. Laura Smith
Title
Administrator
Phone
(660) 476-5211

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X 270-32 MO Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

610 N Ohio St
Appleton City, MO 64724-1609

Mailing address

610 N Ohio St
Appleton City, MO 64724-1609
Phone (660) 476-2111

Other names 1

  • Ellett Memorial 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
O20031111000910 MO Part B Supplier - Clinic/Group Practice 0345153680 Receives reassigned benefits from 12 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Appleton City, MO
O20081125000645 MO Part A Provider - Critical Access Hospital 0345153680 Receives reassigned benefits from 2 practitioners
Practice locations: Appleton City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609894716. Details of each certification follow.

Hospital certification: CCN 261301

Legal name
COMMUNITY MEMORIAL HOSPITAL DISTRICT
Doing business as
ELLETT MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 14, 1999
Last certification
Jun 1, 2023
Beds
12
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
610 N Ohio St
Appleton City, MO 64724-1609

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ellett Memorial HospitalCCN 261301 · 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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Michael Calhoun Individual Operational/Managerial Control Jan 1, 2022 50%
Laura N Smith Individual Contracted Managing EmployeeCeo Jun 1, 2019 100%
Corporate OfficerCeo Jun 1, 2019 100%
Citizens Memorial Hospital District Organization, Bolivar, MO Operational/Managerial Control Nov 1, 2013

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Ac Rural Health ClinicAppleton City, MO, CCN 268593 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 13, 2005

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 14

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 14

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1609894716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N OHIO ST",
            "city": "APPLETON CITY",
            "state": "MO",
            "postal_code": "647241609",
            "telephone_number": "660-476-2111",
            "fax_number": "660-476-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N OHIO ST",
            "city": "APPLETON CITY",
            "state": "MO",
            "postal_code": "647241609",
            "telephone_number": "660-476-2111",
            "fax_number": "660-476-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-476-5211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MO",
            "license": "270-32",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellett Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellett Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton City, MO

Sources for this page

Verify at the official NPI Registry.