NPIMap

Organization Active NPI

Community Memorial Hospital District

Doing business as AC Rural Health Clinic

  • Rural Health Clinic/Center
  • Appleton City, MO
National Provider Identifier
1861559817
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COMMUNITY MEMORIAL HOSPITAL DISTRICT
Doing business as
AC Rural Health Clinic
Practice address
408 E 7TH St
Appleton City, MO 64724-1617
Phone
(660) 476-2121
NPI assigned
Jan 2, 2007
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
Jessica McClure
Title
Clinic Manager
Phone
(660) 476-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

408 E 7TH St
Appleton City, MO 64724-1617

Mailing address

PO Box 97
Appleton City, MO 64724-0097
Phone (660) 476-2121

Other identifiers 1

IdentifierTypeStateIssuer
596051409MedicaidMO

Other names 1

  • AC Rural Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000798 MO Part A Provider - Rural Health Clinic 0345153680 Practice locations: Appleton City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861559817. Details of each certification follow.

Rural health clinic certification: CCN 268593

Legal name
COMMUNITY MEMORIAL HOSPITAL DISTRICT
Doing business as
AC RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2005
Last certification
Nov 17, 2020
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
408 E 7TH St
Box 97
Appleton City, MO 64724-1617
Related CCNs
261301

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).

National Provider Directory

National Provider Directory
Tax ID family
Community Memorial Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

408 E 7th St
Appleton City, MO 64724
Phone (660) 476-2111

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Community Memorial Hospital District Organization, Appleton City, MO 5% Or Greater Direct Ownership Interest Jul 13, 2005 100%
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 Jun 1, 2018 75%

Owners & managing parties with NPI records 10

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

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 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1861559817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "APPLETON CITY",
            "state": "MO",
            "postal_code": "647240097",
            "telephone_number": "660-476-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 7TH ST",
            "city": "APPLETON CITY",
            "state": "MO",
            "postal_code": "647241617",
            "telephone_number": "660-476-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "660-476-2111"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596051409",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AC Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton City, MO

Sources for this page

Verify at the official NPI Registry.