Active NPI
Community Memorial Hospital District
Doing business as Ellett Memorial Hospital
- Critical Access Hospital
- Appleton City, MO
National Provider Identifier
1629250758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 270-32
- 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
- Nov 30, 2007
- Last updated
- Jun 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Smith
- Title
- Ceo
- Phone
- (660) 476-2111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 270-32 | MO | Primary |
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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38298011 | Other | MO | BLUE CROSS/SHIELD |
| 800492902 | Medicaid | MO | |
| 010492908 | Medicaid | MO |
Other names 1
- Ellett Memorial Hospital
National Provider Directory
National Provider Directory- Tax ID family
- Community Mem Hosp District
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba AC Rural Health Clinic
- Family Medicine Physician
- Appleton City, MO
- NPI 1053444687
-
dba AC Rural Health Clinic
- Family Medicine Physician
- Appleton City, MO
- NPI 1619117256
-
dba Ellett Memorial Hospital
- Critical Access Hospital
- Appleton City, MO
- NPI 1831181148
-
dba AC Rural Health Clinic
- Rural Health Clinic/Center
- Appleton City, MO
- NPI 1861559817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780704000000",
"number": "1629250758",
"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": "2007-11-30",
"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": "CEO",
"authorized_official_telephone_number": "660-476-2111"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "MO",
"license": "270-32",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD",
"identifier": "38298011",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800492902",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010492908",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellett Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Appleton City, MO
- Brown Chiropractic LLC
- Marla Lea Brown-James, DC
- Community Memorial Hospital (AC Rural Health Clinic)
- Community Memorial Hospital District (Ellett Memorial Hospital)
- Community Memorial Hospital District (AC Rural Health Clinic)
- Community Memorial Hospital District (Ellett Memorial Hospital)
- Community Memorial Hospital District (AC Rural Health Clinic)
- Community Memorial Hospital District (Ellett Memorial Hospital)
- Anna Victoria Love Crusha, M.S. CCC-SLP
- Shawnda Rachelle Davis, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.