Organization Name: | SUMNER COMMUNITY CLUB |
NPI Number: | 1366442295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN DIANE EVERDING (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 909 W 1st St Sumner |
State: | IA US |
Postal Code: | 506741203 |
Phone Number: | 5635783275 |
Fax Number: | 5635783279 |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 090086H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |