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COMMUNITY MEMORIAL HOSPITAL
NPI 1780684548
General Acute Care Hospital - Critical Access in Sumner, IA

Active since July 22, 2005CLIA 16D0384603 · Microscopy
909 W 1ST ST, SUMNER, IA 50674(563) 578-3275(563) 578-3279 Get Directions Write a Review

NPPES record last updated: July 31, 2015. 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 1780684548) is a healthcare organization registered as a critical access in Sumner, Iowa and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through February 23, 2027 and lists Dawn Diane Everding, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1780684548
Entity TypeOrganization
Primary Taxonomy282NC0060X
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
Phone(563) 578-3275
Fax(563) 578-3279
Organization SubpartNo
Authorized OfficialDawn Diane EverdingChief Financial Officer · (563) 578-3275
Enumeration DateJuly 22, 2005
Last NPPES UpdateJuly 31, 2015
✔ NPI 1780684548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in IA · 090086H
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
909 W 1ST ST, Sumner, IA 50674
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Memorial Hospital

Other Identifiers 5

OtherA5067404IA · John Deere
Other0601385IA · Title Xix
Medicare OSCAR/certification161320IA
Other60138IA · Blue Cross (acute)
Other6230725IA · Aetna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Community Memorial Hospital, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Certified Registered Nurse Anesthetist (CRNA)16
Family Practice10
Nurse Practitioner9
Emergency Medicine3
General Surgery2
Physical Therapist in Private Practice2
Gastroenterology1
Mental Health Counselor1
2 other specialties2

Nearest to this location (20)

See all 46
Camille Gipson, ARNP
Nurse Practitioner
NPI 1275888695
100 COUNTRY VIEW CT
Sumner, IA 50674
(319) 961-8848
✔ PECOS0.4 mi
Krista Begalske, ARNP
Nurse Practitioner
NPI 1881128783
909 W 1ST STREET
Sumner, IA 50674
(563) 578-3275
✔ PECOS✔ Accepts Medicare1.3 mi
Sunbir Gill, DO
Family Practice
NPI 1548821424
909 W 1ST ST
Sumner, IA 50674
(563) 578-3275
✔ PECOS✔ Accepts Medicare1.3 mi
Lonny Miller, MD
Emergency Medicine
NPI 1255568119
909 W 1ST ST
Sumner, IA 50674
(563) 578-5375
✔ PECOS✔ Accepts Medicare1.3 mi
Lucas Brinkman, DO
Family Practice
NPI 1811003031
115 SCHULT RIDGE RD
Fredericksburg, IA 50630
(563) 237-5316
✔ PECOS✔ Accepts Medicare9.0 mi
Taylor Coyle, PT, DPT
Physical Therapist in Private Practice
NPI 1154973386
204 E CHARLES ST
Oelwein, IA 50662
(319) 239-3777
✔ Accepts Medicare15 mi
Jennifer Edeker, MSN, FNP, ARNP
Nurse Practitioner
NPI 1790718302
160 E MAIN STREET
Denver, IA 50622
(319) 984-5645
✔ PECOS17 mi
Megan Jasnowski, DPT
Physical Therapist in Private Practice
NPI 1649983511
217 E BREMER AVE
Waverly, IA 50677
(319) 352-1234
20 mi
Kayln Boge-Kleiss, ARNP
Nurse Practitioner
NPI 1649930066
1825 LOGAN AVE
Waterloo, IA 50703
(641) 330-8862
✔ PECOS✔ Accepts Medicare25 mi
Rhonda Cue, ARNP
Nurse Practitioner
NPI 1174758239
905 FRANKLIN ST
Waterloo, IA 50703
(319) 272-4300
✔ PECOS✔ Accepts Medicare27 mi
Aubrey Klosterman, LMHC
Mental Health Counselor
NPI 1417479916
1824 W 8TH ST
Cedar Falls, IA 50613
(319) 277-0992
✔ PECOS28 mi
Shanna Elliott, DO
Family Practice
NPI 1629458302
2055 KIMBALL AVE SUITE 101
Waterloo, IA 50702
(319) 272-2112
✔ PECOS✔ Accepts Medicare29 mi
Danny Lewis, MD
Emergency Medicine
NPI 1235580366
2055 KIMBALL AVE STE 101
Waterloo, IA 50702
(319) 272-2112
✔ PECOS✔ Accepts Medicare29 mi
Benjamin Levinson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205298668
901 MONTGOMERY ST
Decorah, IA 52101
(563) 382-2911
✔ PECOS✔ Accepts Medicare35 mi
Elleson Schurtz, MD
General Surgery
NPI 1447664883
1830 STATE HIGHWAY 9
Decorah, IA 52101
(563) 382-3140
✔ PECOS✔ Accepts Medicare36 mi
Shawn Blake, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1821475849
235 8TH AVE W
Cresco, IA 52136
(563) 547-2101
✔ PECOS✔ Accepts Medicare37 mi
Andrea Venteicher, MD
Family Practice
NPI 1902896046
120 2ND AVE SE
Waukon, IA 52172
(563) 568-3000
✔ PECOS43 mi
Michael Telisak, M.D.
Otolaryngology
NPI 1144439548
202 10TH ST SE SUITE 200
Cedar Rapids, IA 52403
(319) 399-2022
✔ PECOS✔ Accepts Medicare64 mi
Michael Labelle, MD
General Surgery
NPI 1275784464
1830 STATE HIGHWAY 9
Decorah, IA 52101
(563) 382-3140
✔ PECOS✔ Accepts Medicare76 mi
Stephen Goldman, D.O.
Emergency Medicine
NPI 1750368528
4920 SCENIC VIEW DR SW
Rochester, MN 55902
(641) 856-7833
✔ PECOS✔ Accepts Medicare79 mi
See all 46 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 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.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Community Memorial Hospital Medical Center (CMS certification number 161320), from CMS Care Compare.

Community Memorial Hospital Medical Center

Critical Access Hospitals · Sumner, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161320
Location909 West First StreetSumner, IA 50674 · Bremer County · (563) 578-3275
Emergency services

Complications & Deaths 6

Rate of complications for hip/knee replacement patients
Cases too small to report
Death rate for heart attack patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for pneumonia patients
16.5% No different than national
Death rate for stroke patients
Cases too small to report

Unplanned Hospital Visits 13

Hospital return days for heart attack patients
Cases too small to report
Hospital return days for heart failure patients
Cases too small to report
Hospital return days for pneumonia patients
27 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
51 No different than national
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report

Timely & Effective Care 3

Healthcare workers given influenza vaccination
91%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
109 minutes
Venous Thromboembolism Prophylaxis
79%

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 1780684548. It was assigned to this organization in the NPPES registry on July 22, 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 General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

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), 46 clinicians in 10 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) (16), Family Practice (10) and Nurse Practitioner (9). Of these, 5 practice 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 for Provider-Performed Microscopy Procedures (PPMP) (number 16D0384603) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sumner Community Club a Medicare-certified hospital?

Yes. Community Memorial Hospital Medical Center is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

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 July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.