CUMBERLAND MEMORIAL HOSPITAL (NPI# 1982745774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982745774 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND MEMORIAL HOSPITAL |
| Other Organization Name | NORTHWEST REGIONAL CENTER BEHAVIORAL HEALTH |
| Practice Address |
1110 7th Ave Cumberland WI 54829-9138 |
| Practice Telephone | 7158222741 |
| Practice Fax Number | 7158222740 |
| Mailing Telephone | 7158222741 |
| Mailing Fax Number | 7158222740 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-12-26 |
| Authorized Official Name | DEBORA ANN KUNFERMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7158222741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42178400 | 05 |
| Other Name | Type Code |
|---|---|
| Northwest Regional Center Behavioral Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
| 1568765238 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9138 | 2010-12-17 |
| 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 | 54829-9138 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679824239 | Mohammad Ayan Ghairatmal | Psychiatry & Neurology | 12502 Willowbrook Rd Ste 380, Cumberland, MD 21502-6592 | 2012-09-24 |
| 1649591421 | Jonathan Villas Dela Luna | Psychiatry & Neurology | 2180 Mendon Rd Ste 21, Cumberland, RI 02864-3825 | 2010-06-16 |
| 1699097378 | Committed To Change, P.C. | Psychiatry & Neurology | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2010-02-22 |
| 1093996746 | Jeremy Alan Herschler | Psychiatry & Neurology | 12500 Willowbrook Rd Se, Cumberland, MD 21501-1745 | 2007-11-23 |
| 1316039605 | Karen Olson | Psychiatry & Neurology | 42 Flintlock Dr, Cumberland, ME 04021-4121 | 2006-09-28 |
| 1669483558 | Jean W. Helz | Psychiatry & Neurology | 546 N Centre St, Cumberland, MD 21502-2126 | 2006-08-10 |
| 1346288867 | Veluppillai Nagulendran | Psychiatry & Neurology | 81 Baltimore St, Cumberland, MD 21502-3008 | 2006-06-04 |
| 1467412262 | Anthony H Umpierre | Psychiatry & Neurology | 300 E Oldtown Rd, Cumberland, MD 21502-3600 | 2006-03-24 |
| 1891792461 | Robert Lynn | Psychiatry & Neurology | 134 Baltimore St, Cumberland, MD 21502-2302 | 2005-06-28 |
| 1366957631 | Jonathan Dela Luna, Md, LLC | Psychiatry & Neurology | 2180 Mendon Rd Ste 21, Cumberland, RI 02864-3825 | 2017-12-08 |
| Find all providers in CUMBERLAND | ||||
| 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.