NPIMap

Organization Active NPI

Community Memorial Hospital District

Doing business as Ellett Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Appleton City, MO
National Provider Identifier
1992730261
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
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 12, 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
Laura Smith
Title
Ceo
Phone
(660) 476-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 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 names 1

  • Ellett Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992730261. Details of each certification follow.

Hospital certification: CCN 26Z301

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

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

Ownership & related parties

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

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

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1992730261",
    "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": "2006-07-12",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MO",
            "license": "270-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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.