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Organization Active NPI

Cumberland Memorial Hospital Inc

  • Critical Access Hospital
  • Cumberland, WI
National Provider Identifier
1831243757
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1058 Issued in WI
Legal business name
CUMBERLAND MEMORIAL HOSPITAL INC
Practice address
1705 16TH Ave
Cumberland, WI 54829-8601
Phone
(715) 822-7500
Fax
(715) 822-7221
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emily Dilley
Title
Ceo
Phone
(715) 822-7252

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X
Critical Access Hospital 282NC0060X 1058 WI Primary
Clinical Medical Laboratory 291U00000X
Land Ambulance 3416L0300X

Addresses

Primary practice location

1705 16TH Ave
Cumberland, WI 54829-8601

Mailing address

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7500

Other identifiers 8

IdentifierTypeStateIssuer
42178400MedicaidWI
BC023OtherBLUE CROSS PROVIDER
32758100MedicaidWI
41347000MedicaidWI
32947800MedicaidWI
6590220OtherAETNA PROVIDER
11011600MedicaidWI
11011610MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040124000061 WI Part B Supplier - Clinic/Group Practice 7719889203 Receives reassigned benefits from 25 practitioners
3 other NPIs on this enrollment
Practice locations: Cumberland, WI; Turtle Lake, WI
O20061104000515 WI Part A Provider - Critical Access Hospital 7719889203 Receives reassigned benefits from 24 practitioners
Practice locations: Cumberland, WI
O20130617000215 WI Part A Provider - Rural Health Clinic 7719889203 Practice locations: Cumberland, WI
O20181106000673 WI MDPP Supplier - in-Person MDPP Supplier 7719889203 Practice locations: Cumberland, WI

Hospital certification: CCN 521353

Legal name
CUMBERLAND MEMORIAL HOSPITAL INC
Doing business as
CUMBERLAND HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 19, 2005
Last certification
Sep 22, 2015
Beds
25
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jun 9, 1955 in WI
Enrollment address
1705 16TH Ave
Cumberland, WI 54829-8601
Other Hospital Practice Location

Rural health clinic certification: CCN 528563

Legal name
CUMBERLAND MEMORIAL HOSPITAL INC
Doing business as
CUMBERLAND HEALTHCARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 16, 2014
Last certification
Sep 16, 2014
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 13, 1955 in WI
Enrollment address
1705 16TH Avenue
Cumberland, WI 54829
Related CCNs
521353

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cumberland Memorial HospitalCCN 521353
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph P Leschisin Individual Corporate DirectorBoard Trustee Jun 27, 2011
Corporate Director Jun 1, 2011
Martin J Peters Individual Corporate DirectorBoard Treasurer Jul 1, 2009
Corporate DirectorTreasurer Apr 1, 2005
Jennifer Turcott Individual Corporate Director Feb 1, 2020
Matthew Gores Individual Corporate DirectorBoard Trustee Jan 24, 2011
Corporate Director Jan 1, 2011
Ann M Hendricks Individual Corporate DirectorBoard Secretary May 23, 2011
Corporate DirectorSecretary Jan 1, 2011
Thomas Lingen Individual Corporate DirectorBoard Trustee May 18, 2005
Corporate Director Sep 1, 2002
Angela J Martens Individual Corporate DirectorCfo Dec 1, 2010
W-2 Managing EmployeeCfo Dec 1, 2010
W-2 Managing Employee Jul 1, 2018
Emily Dilley Individual Corporate DirectorCeo Mar 4, 2024
W-2 Managing Employee Mar 4, 2024
Operational/Managerial Control Mar 4, 2024
Corporate DirectorCeo Mar 1, 2024
Glynis Evans Individual W-2 Managing EmployeeRevenue Cycle Director Oct 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

Affiliated clinicians 69

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 69

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1831243757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7500",
            "fax_number": "715-822-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 16TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548298601",
            "telephone_number": "715-822-7500",
            "fax_number": "715-822-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "DILLEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-822-7252"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1058",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42178400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "BC023",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32758100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41347000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32947800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "6590220",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11011600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11011610",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, WI

Sources for this page

Verify at the official NPI Registry.