Organization
SUMNER COMMUNITY CLUB
Active
Parent organization
SUMNER COMMUNITY CLUB
Other names
Community Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMNER COMMUNITY CLUB
Authorized official
DAWN DIANE EVERDING CFO (CHIEF ADMINISTRATOR/CFO)
(563) 578-3275
Entity
Organization
Contact information
Practice address
909 W 1ST ST, SUMNER, IA 50674-1203
(563) 578-3275
(563) 578-3279
Mailing address
PO BOX 148, SUMNER, IA 50674-0148
(563) 578-3275
(563) 578-3279
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0601385
TITLE XIX
—
01
—
6230725
AETNA
—
01
—
66138
BLUE CROSS (SWING BED)
—
01
—
A5067404
JOHN DEERE
—
Enumeration date
07/21/2005
Last updated
04/19/2023
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