NPIMap

Organization Active NPI

Cumberland Memorial Hospital Inc

Doing business as Cumberland Healthcare

  • Family Medicine Physician
  • Cumberland, WI
National Provider Identifier
1861736472
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CUMBERLAND MEMORIAL HOSPITAL INC
Doing business as
Cumberland Healthcare
Practice address
1705 16TH Ave
Cumberland, WI 54829-8601
Phone
(715) 822-7500
Fax
(715) 822-7221
NPI assigned
Nov 20, 2012
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CUMBERLAND MEMORIAL HOSPITAL INCAs reported in NPPES

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU Primary

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 1

IdentifierTypeStateIssuer
100027343MedicaidWI

Other names 1

  • Cumberland Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

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
This NPI is an additional NPI on the enrollment
Practice locations: Cumberland, WI; Turtle Lake, WI

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Memorial Hos5 organizations share this tax ID, including this one
Part of
Cumberland Memorial Hos

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1861736472",
    "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": "YES",
        "parent_organization_legal_business_name": "CUMBERLAND MEMORIAL HOSPITAL INC",
        "enumeration_date": "2012-11-20",
        "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": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100027343",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cumberland Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.