# CUMBERLAND MEMORIAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CUMBERLAND MEMORIAL HOSPITAL INC
- **Other names:** Maple Ridge Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093429821
- **Legal business name:** CUMBERLAND MEMORIAL HOSPITAL INC
- **Authorized official:** EMILY DILLEY (CEO)
- **Authorized official phone:** (715) 822-7252

## Contact information

- **Practice address:** 1705 16TH AVE, CUMBERLAND, WI 54829
- **Practice address phone:** (715) 822-7548
- **Practice address fax:** (715) 822-7111
- **Mailing address:** 1705 16TH AVE, CUMBERLAND, WI 54829-8601
- **Mailing address phone:** (715) 822-7222
- **Mailing address fax:** (715) 822-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 03/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10002 | WISCONSIN STATE PHARMACY LICENSE | WI |