CUMBERLAND MEMORIAL HOSPITAL INC (NPI# 1730233651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730233651 |
Entity Type | Organization |
Organization Name | CUMBERLAND MEMORIAL HOSPITAL INC |
Practice Address |
1110 7th Ave Cumberland WI 54829 |
Mailing Address |
1110 7th Ave Cumberland WI 54829-9138 |
Practice Telephone | 7158222741 |
Practice Fax Number | 7158222740 |
Mailing Telephone | 7158222741 |
Mailing Fax Number | 7158222740 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2018-08-22 |
Authorized Official Name | MR. MICHAEL GUTSCH (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7158227200 |
Is Organization Subpart | Y |
Parent Organization Name | CUMBERLAND MEMORIAL HOSPITAL INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 1058 | WI | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 11011600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
1790043099 | Cumberland Memorial Hospital Inc | Specialist/Technologist | 632 Us Highway 8 W, Turtle Lake, WI 54889-4411 | 2012-04-25 |
1225586829 | Cumberland Memorial Hospital Inc | Occupational Therapist | 630 River Ave S, Prairie Farm, WI 54762-9792 | 2016-09-13 |
1952737264 | Cumberland Memorial Hospital Inc | Clinic/Center | 632 Us Highway 8 W, Turtle Lake, WI 54889-4411 | 2013-09-18 |
1861736472 | Cumberland Memorial Hospital Inc | Physician Assistant | 1110 7th Ave, Cumberland, WI 54829-9138 | 2012-11-20 |
1831243757 | Cumberland Memorial Hospital Inc | Clinic/Center | 1110 7th Ave, Cumberland, WI 54829-9138 | 2007-01-22 |
Street Address |
1110 7TH AVE |
City | CUMBERLAND |
State | WI |
Zip Code | 54829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
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 |
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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407096266 | Ascension Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 601 S. Center Ave, Merrill, WI 54452-3404 | 2009-03-05 |
1306051990 | St. Joseph's Health Services, Inc. | Medicare Defined Swing Bed Unit | 400 Water Ave., Hillsboro, WI 54634 | 2007-05-14 |
1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
1346716263 | Mchs Hospitals, Inc. | Medicare Defined Swing Bed Unit | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-10-18 |
1689151599 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2018-07-24 |
1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
1326349135 | St Clare Memorial Hospital, Inc | Medicare Defined Swing Bed Unit | 855 S Main St, Oconto Falls, WI 54154-1241 | 2010-11-10 |
1720252893 | Aurora Medical Center of Manitowoc County, Inc. | Medicare Defined Swing Bed Unit | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2008-04-18 |
1265618979 | Thedacare Medical Center - Shawano, Inc. | Medicare Defined Swing Bed Unit | 100 County Road B, Shawano, WI 54166-7072 | 2008-01-11 |
Find all providers with the same taxonomy |
City | CUMBERLAND |
Zip Code | 54829 |
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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.