# SUMNER COMMUNITY CLUB

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMNER COMMUNITY CLUB
- **Other names:** Community Memorial Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801818661
- **Legal business name:** SUMNER COMMUNITY CLUB
- **Authorized official:** DAWN DIANE EVERDING CFO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (563) 578-3275

## Contact information

- **Practice address:** 909 W 1ST ST, SUMNER, IA 50674-1203
- **Practice address phone:** (563) 578-5375
- **Practice address fax:** (563) 578-5437
- **Mailing address:** PO BOX 148, SUMNER, IA 50674-0148
- **Mailing address phone:** (563) 578-5375
- **Mailing address fax:** (563) 578-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 04/22/2025