# COMMUNITY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AC Rural Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053444687
- **Authorized official:** DELORES B BRACHER (SR BILLING CLERK)
- **Authorized official phone:** (660) 476-2121

## Contact information

- **Practice address:** 408 E 7TH ST, APPLETON CITY, MO 64724-1402
- **Practice address phone:** (660) 476-2121
- **Practice address fax:** (660) 476-2130
- **Mailing address:** 408 E 7TH ST, PO BOX 97, APPLETON CITY, MO 64724-1402
- **Mailing address phone:** (660) 476-2121
- **Mailing address fax:** (660) 476-2130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 01/16/2009