Healthcare Provider Details

I. General information

NPI: 1790043099
Provider Name (Legal Business Name): CUMBERLAND MEMORIAL HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 US HIGHWAY 8 W
TURTLE LAKE WI
54889-4411
US

IV. Provider business mailing address

1705 16TH AVE
CUMBERLAND WI
54829-8601
US

V. Phone/Fax

Practice location:
  • Phone: 715-822-4301
  • Fax: 715-986-2236
Mailing address:
  • Phone: 715-822-7500
  • Fax: 715-822-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1058
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1058
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1058
License Number StateWI

VIII. Authorized Official

Name: EMILY DILLEY
Title or Position: CEO
Credential:
Phone: 715-822-7252