CUMBERLAND MEMORIAL HOSPITAL (NPI# 1255382933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255382933 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND MEMORIAL HOSPITAL |
| Practice Address |
1110 7th Ave Cumberland WI 54829-9133 |
| Practice Telephone | 7158226164 |
| Practice Fax Number | 7158222740 |
| Mailing Telephone | 7158226164 |
| Mailing Fax Number | 7158222740 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD G. NERBUN (DIRECTOR) |
| Authorized Official Telephone | 7158226164 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
6245-042 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33026200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568765238 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9138 | 2010-12-17 |
| 1982745774 | Cumberland Memorial Hospital | Counselor | 1110 7th Ave, Cumberland, WI 54829-9138 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CUMBERLAND MEMORIAL HOSPITAL, INC. | 1110 7th Ave, Cumberland, WI 54829-9138 |
| Street Address |
1110 7TH AVE |
| City | CUMBERLAND |
| State | WI |
| Zip Code | 54829-9133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990347 | Jennifer Young | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-29 |
| 1700494804 | Jane Nickell | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-15 |
| 1023636461 | Cassandra Laurine Klatt | Health Educator | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-07-13 |
| 1619502275 | Nicholas Pedersen | Physician Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-03-04 |
| 1346880077 | Ashley Mikaila Quaderer | Occupational Therapy Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-01-10 |
| 1942849484 | Jay Mitchell Jevne | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-01-02 |
| 1134778293 | Amanda Meleen | Speech-Language Pathologist | 1110 7th Ave, Cumberland, WI 54829-9138 | 2019-09-10 |
| 1578078341 | Deidri Sanderson | Technician, Pathology | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-12-02 |
| 1942726534 | Cumberland Memorial Hospital, Inc | Non-Pharmacy Dispensing Site | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-08-16 |
| 1235651522 | Craig Alexander Jennings | Family Medicine | 1110 7th Ave, Cumberland, WI 54829-9138 | 2017-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508100744 | Michelle Marie Miller | Licensed Practical Nurse | 2503 12th St., Cumberland, WI 54829 | 2012-11-10 |
| 1336492230 | Harriet Ailene Osumi | Occupational Therapist | 1220 Jeffery Blvd, Cumberland, WI 54829 | 2012-10-17 |
| 1497082663 | Optima Natural Health & Wellness, LLC | Chiropractor | 1320 2nd Ave, Cumberland, WI 54829 | 2009-11-10 |
| 1295982593 | Toftness Chiropractic Clinic LLC | Chiropractor | 1425 2nd Ave., Cumberland, WI 54829 | 2008-08-19 |
| 1114143740 | Heather Colleen Gaylord | Occupational Therapist | 1110 7th Street, Cumberland, WI 54829 | 2007-04-18 |
| 1598857518 | Jodi Lynne Griffith | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
| 1750494449 | Lee R Jacobson Od Sc | Optometrist | 1357 Second Ave, Cumberland, WI 54829 | 2006-08-16 |
| 1083917926 | Blue Hills Chiropractic LLC | Chiropractor | 1320 2nd Avenue, Cumberland, WI 54829 | 2010-12-15 |
| 1538389846 | Lee R Jacobson Od Sc | Eyewear Supplier (Equipment, not the service) | 1357 Second Ave, Cumberland, WI 54829 | 2007-04-27 |
| 1134211154 | Thomas Lee Toftness | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
| Find all providers in zip 54829 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568765238 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9138 | 2010-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1255662573 | Donald Morris Levy | General Acute Care Hospital | 4348 W Tarrytown Ln, Mequon, WI 53092-4850 | 2010-01-26 |
| 1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
| 1104953090 | New Anesthesia | General Acute Care Hospital | 1236 Stillmeadow Ln, Menasha, WI 54952-8920 | 2007-02-27 |
| 1184765240 | Tomah Memorial Hospital Inc | General Acute Care Hospital | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-10 |
| 1194737817 | Chippewa Valley Hospital & Oakview Care Center, Inc. | General Acute Care Hospital | 1220 3rd Ave W, Durand, WI 54736-1600 | 2006-08-12 |
| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1881640183 | Westfields Hospital, Inc. | General Acute Care Hospital | 535 Hospital Road, New Richmond, WI 54017-1449 | 2006-05-26 |
| 1053362624 | Ripon Medical Center Inc | General Acute Care Hospital | 845 Parkside Street, Ripon, WI 54971-8505 | 2006-05-16 |
| 1114987054 | Lafayette County | General Acute Care Hospital | 800 Clay St, Darlington, WI 53530-1228 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 54829 |
Please comment or provide details below to improve the information on CUMBERLAND MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.