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General NPI Number Information
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NPI Number | 1831243757
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Entity Type | Organization
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Legal Business Name | CUMBERLAND MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 1705 16TH AVE
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City | CUMBERLAND
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State | WI
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Zip | 54829-8601
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Country | US
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Telephone | 715-822-7500
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Fax | 715-822-7221
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Provider Business Mailing Address
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Address Line | 1705 16TH AVE
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City | CUMBERLAND
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State | WI
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Zip | 54829-8601
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Country | US
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Telephone | 715-822-7500
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Fax | 715-822-7221
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Authorized Official
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Title or Position | CEO
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Name | EMILY DILLEY
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Credential |
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Telephone | 715-822-7252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1058
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License Number State | WI
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