Community Memorial Hospital District
Organization Active NPI Critical Access Hospital · Appleton City, MO
NPI 1609894716 · NPPES record last updated Jun 6, 2026
Key facts
- NPI
- 1609894716
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 270-32 (MO)
- Legal business name
- COMMUNITY MEMORIAL HOSPITAL DISTRICT
- Practice address
- 610 N Ohio St
Appleton City, MO 64724-1609 - Phone
- (660) 476-2111
- Fax
- (660) 476-5591
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Laura Smith
- Title
- Administrator
- Phone
- (660) 476-5211
Owners & managing parties with NPI records 7
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Related certifications (CCN) 2
Facilities with the same owner 18
Practitioners 26
-
Paul L Kramer, DO
-
Sarah B Kallberg, D.O.
-
Kendrick R Maus, NP
-
Farid M Namin, MD
-
Jared Wade Nichols, D.O.
-
Jamie O'Farrell, FNP-BC
-
Jerad E Widman, M.D.
-
Bella Michelle Birdashaw, ARNP
-
Samantha Jo Castlebury, FNP-C
-
Stacey A Dobbs, FNP
-
Jonathan Eugene Gray, D.O
-
David L John, MD
-
Laura Noble, FNP-BC
-
Caleb Pace, DPM
-
Erin Stilson, APRN
-
Dylan G Timmermann, PA-C
-
John Gamble III, M.D.
-
Deborah Joy Manning, M.D.
-
Carlin A Ridpath, M.D.
-
Jinming Song, MD
Affiliated clinicians 16
-
Jeffrey W Bissing, D.O.
-
Heather Dains, FNP-BC
-
Stacey A Dobbs, FNP
-
Jonathan Eugene Gray, D.O
-
David L John, MD
-
Paul L Kramer, DO
-
Kendrick R Maus, NP
-
James L Miller, DO
-
Farid M Namin, MD
-
Jared Wade Nichols, D.O.
-
Laura Noble, FNP-BC
-
Jamie O'Farrell, FNP-BC
-
Caleb Pace, DPM
-
Jonathan E. Blake, D.O.
-
Jerad E Widman, M.D.
Medicare Care Compare: Hospital
- Listed as
- Ellett Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
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
- Other · Non-profit
- Enrollment address
- 610 N Ohio St
Appleton City, MO 64724-1609
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Calhoun |
Operational/Managerial Control | Jan 1, 2022 | 50% |
| Laura N Smith |
Contracted Managing Employee |
Jun 1, 2019 | 100% |
| Corporate Officer |
Jun 1, 2019 | 100% | |
| Citizens Memorial Hospital District |
Operational/Managerial Control | Nov 1, 2013 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Ac Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jul 13, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
408 E 7th St
Appleton City, MO 64724
Phone (660) 476-2111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Critical Access Hospital | 282NC0060X | 270-32 | MO | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010492908 | Medicaid | MO | |
| 540492907 | Medicaid | MO | |
| 800492902 | Medicaid | MO |
Other names
- Ellett Memorial Hospital
Other providers in Appleton City, MO
- Stephani Beckett
- Patricia Kay Bouse
- Brown Chiropractic LLC
- Marla Lea Brown-James
- Community Memorial Hospital
- Community Memorial Hospital District
- Community Memorial Hospital District
- Community Memorial Hospital District
- Community Memorial Hospital District
- Community Memorial Hospital District
All providers in Appleton City, MO · Critical Access Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.