COMMUNITY MEMORIAL HOSPITAL
NPI 1366442295
Medicare Defined Swing Bed Unit in Sumner, IA

Active since July 21, 2005CLIA Certified · 2 labs
909 W 1ST ST, SUMNER, IA 50674(563) 578-3275(563) 578-3279 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY MEMORIAL HOSPITAL (NPI 1366442295) is a healthcare organization registered as a medicare defined swing bed unit in Sumner, Iowa and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates and lists Dawn Diane Everding, Chief Administrator/cfo, as its authorized official.

NPPES Registry Identity

NPI1366442295
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameSUMNER COMMUNITY CLUB
Location Address909 W 1ST STSumner, IA 50674-1203
Mailing AddressPo Box 148Sumner, IA 50674-0148 · (563) 578-3275 · Fax (563) 578-3279
Fax(563) 578-3279
Organization SubpartYes
Authorized OfficialDawn Diane EverdingChief Administrator/cfo · (563) 578-3275
Enumeration DateJuly 21, 2005
Last NPPES UpdateApril 19, 2023
NPPES CertifiedDecember 3, 2021
NPI 1366442295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
909 W 1ST ST, Sumner, IA 50674

Other Names 1

Doing Business AsCommunity Memorial Hospital

Other Identifiers 4

Other66138Blue Cross (swing Bed)
Other6230725Aetna
Other0601385Title Xix
OtherA5067404John Deere

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D0384603

Sumner Community Club Dba Fredericksburg Medical Clinic · Fredericksburg, IA
Active · expires Feb 23, 2027
CLIA Number16D0384603
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorDr. Wei Yang
Laboratory Phone(563) 578-3275
Laboratory LocationSumner Community Club Dba Fredericksburg Medical Clinic115 Schult Ridge Road, Fredericksburg, IA 50630
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 16D0384720

Community Memorial Hospital · Sumner, IA
Active · expires Mar 10, 2027
CLIA Number16D0384720
Laboratory TypeHospital
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorWei Yang
Laboratory Phone(563) 578-2121
Laboratory LocationCommunity Memorial Hospital909 West First Street, Sumner, IA 50674
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
909 W 1ST ST
SUMNER, IA 50674
Family Medicine
909 W 1ST ST
SUMNER, IA 50674
Physical Therapist
909 W 1ST ST
SUMNER, IA 50674
Family Medicine
909 W 1ST ST
SUMNER, IA 50674
Dietitian, Registered
909 W 1ST ST, COMMUNITY MEMORIAL HOSPITAL
SUMNER, IA 50674
Physical Therapist
909 W 1ST ST
SUMNER, IA 50674
Family Medicine
909 W 1ST ST
SUMNER, IA 50674
Family Medicine
909 W 1ST ST
SUMNER, IA 50674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumner Community Club's NPI number?

The NPI number for Sumner Community Club is 1366442295. It was assigned to this organization in the NPPES registry on July 21, 2005. The provider is doing business as Community Memorial Hospital.

Where is Sumner Community Club located?

Sumner Community Club is located at 909 W 1st St, Sumner, IA 50674. The listed phone number is (563) 578-3275.

What is Sumner Community Club's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Does Sumner Community Club hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Sumner Community Club accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Sumner Community Club as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sumner Community Club was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.