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Community Memorial Hospital District

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Appleton City, MO

NPI 1992730261 · NPPES record last updated Jun 6, 2026

Key facts

NPI
1992730261
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
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 12, 2006
Organization subpart
No

Authorized official

Name
Laura Smith
Title
Ceo
Phone
(660) 476-2111

Owners & managing parties with NPI records 7

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 3

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

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

Facilities with the same owner 18

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

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Hospital certification: CCN 26Z301

Legal name
COMMUNITY MEMORIAL HOSPITAL DISTRICT
Doing business as
ELLETT MEMORIAL HOSPITAL
Organization structure
Other · Non-profit
Enrollment address
610 N Ohio St
Appleton City, MO 64724-1609
Other Hospital Practice Location

All disclosed owners & managing parties 5

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
Ceo		 Jan 1, 2022 100%
Laura N Smith
Individual 		Contracted Managing Employee
Interim Ceo		 Mar 29, 2019 100%
Corporate Officer
Interim Ceo		 Mar 29, 2019 100%
Citizens Memorial Hospital District
Organization · Bolivar, MO 		Operational/Managerial Control Jun 1, 2018 75%
Donald Payton
Individual 		Corporate Director
Board Member		 Apr 15, 2008
Enoch L Swopes
Individual 		Corporate Director
Board Chairman		 Dec 14, 1999 100%

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 Clinic
Appleton City, MO · CCN 268593		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 13, 2005

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081204000181 MO Part a Provider - Critical Access Hospital 0345153680 Practice locations: Appleton City, MO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 270-32 MO Yes

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

IdentifierTypeStateIssuer
010492908MedicaidMO

Other names

  • Ellett Memorial Hospital Doing business as

Other providers in Appleton City, MO

All providers in Appleton City, MO · Medicare Defined Swing Bed Hospital Unit in Missouri

Sources for this page

Verify at the official NPI Registry.