AC RURAL HEALTH CLINIC
NPI 1053444687
Family Medicine in Appleton City, MO

Active since March 13, 2007CLIA 26D0445313 · Waiver
408 E 7TH ST, APPLETON CITY, MO 64724(660) 476-2121(660) 476-2130 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ac Rural Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AC RURAL HEALTH CLINIC (NPI 1053444687) is a healthcare organization registered as a family medicine in Appleton City, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Delores B Bracher, Sr Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1053444687
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL
Location Address408 E 7TH STAppleton City, MO 64724-1402
Mailing Address408 E 7th St, Po Box 97Appleton City, MO 64724-1402 · (660) 476-2121 · Fax (660) 476-2130
Fax(660) 476-2130
Organization SubpartNo
Authorized OfficialDelores B BracherSr Billing Clerk · (660) 476-2121
Enumeration DateMarch 13, 2007
Last NPPES UpdateJanuary 16, 2009
✔ NPI 1053444687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
408 E 7TH ST, Appleton City, MO 64724

Other Names 1

Doing Business AsAc Rural Health Clinic

Other Identifiers 1

Medicare PIN3640000MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ac Rural Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Ac Rural Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Family Practice3
Nurse Practitioner3
Emergency Medicine1
Neurology1
Orthopedic Surgery1
Rheumatology1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1437604592
408 E 7TH ST
Appleton City, MO 64724
(660) 476-2121
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992367502
610 N OHIO ST
Appleton City, MO 64724
(660) 476-2111
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1104866722
603 E GAINES DR
Clinton, MO 64735
(660) 885-8141
✔ PECOS20 mi
Orthopedic Surgery
NPI 1578798054
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts Medicare53 mi
Family Practice
NPI 1083655039
22450 S HARRISON ST STE. 100
Spring Hill, KS 66083
(913) 592-2720
✔ PECOS✔ Accepts Medicare57 mi
Emergency Medicine
NPI 1407848351
1500 STATE STREET
Lexington, MO 64067
(660) 259-2203
✔ PECOS✔ Accepts Medicare69 mi
Neurology
NPI 1881672376
2521 GLENN HENDREN DR STE 411
Liberty, MO 64068
(816) 407-9232
✔ PECOS✔ Accepts Medicare78 mi
Family Practice
NPI 1982018727
2901 SAINT JOHNS BLVD
Joplin, MO 64804
(417) 208-0733
✔ PECOS✔ Accepts Medicare85 mi
Rheumatology
NPI 1669416046
3610 BUTTONWOOD DR SUITE 200
Columbia, MO 65201
(417) 689-4080
✔ PECOS✔ Accepts Medicare105 mi
Family Practice
NPI 1114091212
3949 SHERMAN AVE
Saint Joseph, MO 64506
(816) 279-4882
✔ PECOS117 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0445313

Ac Rural Health Clinic · Appleton City, MO
Active · expires Jan 25, 2028
CLIA Number26D0445313
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorRichard Dailey
Laboratory Phone(660) 476-2121
Laboratory LocationAc Rural Health Clinic408 East 7th Street, Appleton City, MO 64724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Memorial Hospital's NPI number?

The NPI number for Community Memorial Hospital is 1053444687. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Ac Rural Health Clinic.

Where is Community Memorial Hospital located?

Community Memorial Hospital is located at 408 E 7th St, Appleton City, MO 64724. The listed phone number is (660) 476-2121.

What is Community Memorial Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Community Memorial Hospital enrolled in Medicare?

Yes. Community Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to Community Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (3) and Emergency Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0445313) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Memorial Hospital was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.