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Organization

CUMBERLAND MEMORIAL HOSPITAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY DILLEY (CEO)
(715) 822-7252
Entity
Organization

Contact information

Practice address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7221
Mailing address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7221

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
282NC0060X
Critical Access Hospital
Primary
1058
WI
291U00000X
Clinical Medical Laboratory
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080000055
WEA PROVIDER
01
1006026
PREFERED ONE PROVIDER
05
11011600
WI
05
11011610
WI
05
32758100
WI
05
32947800
WI
05
41347000
WI
05
42178400
WI
01
6590220
AETNA PROVIDER
01
BC023
BLUE CROSS PROVIDER
Enumeration date
01/22/2007
Last updated
04/21/2026
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