=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992730261
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMMUNITY MEMORIAL HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2006
-----------------------------------------------------
Last Update Date | 12/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 610 N OHIO ST
-----------------------------------------------------
City | APPLETON CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64724-1609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 660-476-2111
-----------------------------------------------------
Fax | 660-476-5591
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 610 N OHIO ST
-----------------------------------------------------
City | APPLETON CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64724-1609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 660-476-2111
-----------------------------------------------------
Fax | 660-476-5591
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | LAURA SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 660-476-2111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 275N00000X
-----------------------------------------------------
Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
-----------------------------------------------------
License Number | 270-32
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------