Healthcare Provider Details

I. General information

NPI: 1609894716
Provider Name (Legal Business Name): COMMUNITY MEMORIAL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N OHIO ST
APPLETON CITY MO
64724-1609
US

IV. Provider business mailing address

610 N OHIO ST
APPLETON CITY MO
64724-1609
US

V. Phone/Fax

Practice location:
  • Phone: 660-476-2111
  • Fax: 660-476-5591
Mailing address:
  • Phone: 660-476-2111
  • Fax: 660-476-5591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number270-32
License Number StateMO

VIII. Authorized Official

Name: MRS. LAURA SMITH
Title or Position: ADMINISTRATOR
Credential:
Phone: 660-476-5211