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CAH161320-00 Sumner Community Club dba Community Memorial Hospital (Active)
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Main Details
Name
Sumner Community Club dba Community Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161320-00
Medicare Provider Number
161320
Additional Details
Current Program Status
Active
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/15/2014
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Sumner Community Club dba Community Memorial Hospital
Dawn D Everding, President/Chief Financial Officer
(563) 578-2120
Primary Contact
Community Memorial Hospital
Mandy Kellogg, Pharmacist-In-Charge
(563) 578-2153
Addresses
Street Address
909 West First Street
Sumner, IA 50674
Billing Address
Community Memorial Hospital
PO Box 148
909 West First Street
Sumner, IA 50674
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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