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

Active since July 21, 2005CLIA 16D0384720 · Certificate of Compliance
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: October 18, 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 a CLIA Certificate of Compliance certificate valid through March 10, 2027 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Community Memorial Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Certified Registered Nurse Anesthetist (CRNA)12
Family Practice10
Nurse Practitioner7
Emergency Medicine2
Otolaryngology1
Physical Therapist in Private Practice1

Nearest to this location (20)

See all 33
Nurse Practitioner
NPI 1881128783
909 W 1ST STREET
Sumner, IA 50674
(563) 578-3275
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548821424
909 W 1ST ST
Sumner, IA 50674
(563) 578-3275
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1255568119
909 W 1ST ST
Sumner, IA 50674
(563) 578-5375
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275888695
100 COUNTRY VIEW CT
Sumner, IA 50674
(319) 961-8848
✔ PECOS1.6 mi
Family Practice
NPI 1811003031
115 SCHULT RIDGE RD
Fredericksburg, IA 50630
(563) 237-5316
✔ PECOS✔ Accepts Medicare9.7 mi
Physical Therapist in Private Practice
NPI 1154973386
204 E CHARLES ST
Oelwein, IA 50662
(319) 239-3777
✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1790718302
160 E MAIN STREET
Denver, IA 50622
(319) 984-5645
✔ PECOS18 mi
Nurse Practitioner
NPI 1649930066
1825 LOGAN AVE
Waterloo, IA 50703
(641) 330-8862
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1629458302
2055 KIMBALL AVE SUITE 101
Waterloo, IA 50702
(319) 272-2112
✔ PECOS✔ Accepts Medicare29 mi
Emergency Medicine
NPI 1235580366
2055 KIMBALL AVE STE 101
Waterloo, IA 50702
(319) 272-2112
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1568870566
1753 W RIDGEWAY AVE STE 111
Waterloo, IA 50701
(319) 833-5970
✔ PECOS✔ Accepts Medicare30 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821475849
235 8TH AVE W
Cresco, IA 52136
(563) 547-2101
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1255850970
101 FRANKLIN ST
Monona, IA 52159
(563) 539-5656
✔ PECOS38 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073248951
712 W MAIN ST
Manchester, IA 52057
(563) 822-1435
✔ PECOS✔ Accepts Medicare40 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023314218
712 W MAIN ST
Manchester, IA 52057
(319) 368-3625
✔ PECOS✔ Accepts Medicare40 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487701652
709 W MAIN ST
Manchester, IA 52057
(563) 822-1435
✔ PECOS✔ Accepts Medicare40 mi
Family Practice
NPI 1902896046
120 2ND AVE SE
Waukon, IA 52172
(563) 568-3000
✔ PECOS42 mi
Family Practice
NPI 1982693941
7003 HIGH POINT LN
Cedar Rapids, IA 52411
(319) 550-2154
✔ PECOS58 mi
Otolaryngology
NPI 1144439548
202 10TH ST SE SUITE 200
Cedar Rapids, IA 52403
(319) 399-2022
✔ PECOS✔ Accepts Medicare63 mi
Family Practice
NPI 1336219112
1040 WILLIAM
Iowa City, IA 52240
(319) 248-0239
✔ PECOS✔ Accepts Medicare88 mi
See all 33 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 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.

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.

Is Sumner Community Club enrolled in Medicare?

Yes. Sumner Community Club is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sumner Community Club?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 6 Medicare specialties reassign their Medicare billing to Sumner Community Club. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (12), Family Practice (10) and Nurse Practitioner (7). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sumner Community Club hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0384720) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sumner Community Club accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. 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.