| Cumberland Memorial Hospital Inc | |
|
1705 16th Ave Cumberland WI 54829-8601 | |
| (715) 822-7500 | |
| (715) 822-7221 |
| Full Name | Cumberland Memorial Hospital Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1705 16th Ave, Cumberland, Wisconsin |
| Authorized Official Name and Position | Emily Dilley (CEO) |
| Authorized Official Contact | 7158227252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Memorial Hospital Inc 1705 16th Ave Cumberland WI 54829-8601 Ph: (715) 822-7500 | Cumberland Memorial Hospital Inc 1705 16th Ave Cumberland WI 54829-8601 Ph: (715) 822-7500 |
| NPI Number | 1831243757 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 03/12/2024 |
| Medicare PECOS PAC ID | 7719889203 |
|---|---|
| Medicare Enrollment ID | O20040124000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831243757 | NPI | - | NPPES |
| 11011610 | Medicaid | WI | |
| 1006026 | Other | PREFERED ONE PROVIDER | |
| 32758100 | Medicaid | WI | |
| 42178400 | Medicaid | WI | |
| 6590220 | Other | AETNA PROVIDER | |
| 11011600 | Medicaid | WI | |
| BC023 | Other | BLUE CROSS PROVIDER | |
| 32947800 | Medicaid | WI | |
| 080000055 | Other | WEA PROVIDER | |
| 41347000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 1058 (Wisconsin) | Primary |
| Provider Name | Thomas Lingen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003842402 PECOS PAC ID: 8426943903 Enrollment ID: I20040216000681 |
| Provider Name | Troy L Berg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740216845 PECOS PAC ID: 0345154167 Enrollment ID: I20040805000261 |
| Provider Name | Alan Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770511537 PECOS PAC ID: 9032004510 Enrollment ID: I20120419000127 |
| Provider Name | Gregory J Leitheiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659307361 PECOS PAC ID: 4880596378 Enrollment ID: I20120424000343 |
| Provider Name | Brittany P Schultz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295015394 PECOS PAC ID: 3476702267 Enrollment ID: I20121011000692 |
| Provider Name | Susan K Rouzer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174757124 PECOS PAC ID: 5496991614 Enrollment ID: I20130412000645 |
| Provider Name | John Christopher Berschback |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1720244288 PECOS PAC ID: 8426213703 Enrollment ID: I20130918000790 |
| Provider Name | Ashley Knutson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134552839 PECOS PAC ID: 1052545951 Enrollment ID: I20131008001935 |
| Provider Name | Andrew Revak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659729929 PECOS PAC ID: 8820380397 Enrollment ID: I20160705000563 |
| Provider Name | Sabrina L Meddaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780036830 PECOS PAC ID: 6608163126 Enrollment ID: I20160928000216 |
| Provider Name | John E Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447666482 PECOS PAC ID: 9436375375 Enrollment ID: I20170504002554 |
| Provider Name | Lisa Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487174157 PECOS PAC ID: 7517223605 Enrollment ID: I20171106001675 |
| Provider Name | Michelle C Perlick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104274240 PECOS PAC ID: 0840580973 Enrollment ID: I20180220000719 |
| Provider Name | Amy Bair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285862623 PECOS PAC ID: 4981841046 Enrollment ID: I20190913000258 |
| Provider Name | Tyler D Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760830707 PECOS PAC ID: 4284926890 Enrollment ID: I20200720003443 |
| Provider Name | Kimberly M Aucoin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508388893 PECOS PAC ID: 7618237132 Enrollment ID: I20200813002862 |
| Provider Name | Craig A Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235651522 PECOS PAC ID: 2163782533 Enrollment ID: I20201005002491 |
| Provider Name | Kimberly Hanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417623638 PECOS PAC ID: 4183020282 Enrollment ID: I20210914002992 |
| Provider Name | Adam Neter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083108781 PECOS PAC ID: 2365798485 Enrollment ID: I20221006000701 |
| Provider Name | Kathryn Beecroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558080903 PECOS PAC ID: 9436526340 Enrollment ID: I20221107001647 |
The Lakes Community Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1150 6th Ave, Cumberland, WI 54829 Phone: 715-822-1000 Fax: 715-822-1001 | |
Cumberland Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 16th Ave, Cumberland, WI 54829 Phone: 715-822-7500 | |
Cumberland Clinic Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Webb St, Cumberland, WI 54829 Phone: 715-822-2231 Fax: 715-822-2023 | |
Marshfield Clinic Cumberland Center, Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 State Road 48, Cumberland, WI 54829 Phone: 715-822-6900 | |
Cumberland Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 16th Ave, Cumberland, WI 54829 Phone: 715-822-7500 Fax: 715-822-7221 |