AMERY REGIONAL MEDICAL CENTER, INC (NPI# 1366878449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366878449 |
| Entity Type | Organization |
| Organization Name | AMERY REGIONAL MEDICAL CENTER, INC |
| Other Organization Name | AMERY HOSPITAL & CLINIC -CLEAR LAKE CLINIC |
| Practice Address |
357 Third Ave Clear Lake WI 54005-0177 |
| Mailing Address |
265 Griffin St E Amery WI 54001-1439 |
| Practice Telephone | 7152688000 |
| Practice Fax Number | 7152683102 |
| Mailing Telephone | 7152688000 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | MS. DEBRA A RUDQUIST (PRESIDENT/CEO) |
| Authorized Official Telephone | 7152688000 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RURAL HEALTH CLINIC | 528562 | 01 |
| WI | CLIA | 52DO394232 | 01 |
| Other Name | Type Code |
|---|---|
| Amery Hospital & Clinic -Clear Lake Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659927069 | Amery Regional Medical Center, Inc | Clinic/Center | 265 Griffin St E, Amery, WI 54001-1439 | 2019-08-12 |
| 1699003202 | Amery Regional Medical Center, Inc | Clinic/Center | 230 Deronda St, Amery, WI 54001-1412 | 2009-11-20 |
| 1538384466 | Amery Regional Medical Center, Inc | Clinic/Center | 550 Martin Ave W, Turtle Lake Medical Clinic, Turtle Lake, WI 54889-9069 | 2007-04-16 |
| 1093763518 | Amery Regional Medical Center, Inc | General Acute Care Hospital | 265 Griffin St E, Amery, WI 54001-1439 | 2006-05-05 |
| Street Address |
357 THIRD AVE |
| City | CLEAR LAKE |
| State | WI |
| Zip Code | 54005-0177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134892 | Jolleen Mary Nichols | Nurse Practitioner | 357 Third Ave, Clear Lake, WI 54005 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043866460 | Northern Roots Family Spinal Care, LLC | Chiropractor | 470 3rd Ave, Clear Lake, WI 54005 | 2019-08-12 |
| 1689855355 | Deborah Sue Cuper | Physical Therapist | 417 3rd Ave., Clear Lake, WI 54005 | 2007-11-21 |
| 1952595480 | Kivlin Eye Clinic, Sc | Optometrist | 370 3rd Ave, Clear Lake, WI 54005 | 2007-08-28 |
| 1083722920 | Bradley Alvin Paulson | Chiropractor | 336 3rd Ave, Clear Lake, WI 54005 | 2006-08-29 |
| 1225042013 | Emily J Monson | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2006-07-28 |
| 1265721781 | Krista Anderson | Physical Therapy Assistant | 417 3rd Ave, Clear Lake, WI 54005 | 2011-04-05 |
| 1083845754 | Clear Lake Physical Therapy and Rehab Specialists LLC | Occupational Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2009-07-29 |
| 1063689487 | Erin Timm | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2008-05-14 |
| 1245563196 | Lisa Karen Dodge | Point of Service | 571 75th St, Clear Lake, WI 54005-3819 | 2009-09-10 |
| 1831394741 | Stephanie L Fall | Specialist/Technologist | 751 4th St, Clear Lake, WI 54005-8505 | 2007-06-19 |
| Find all providers in zip 54005 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720129638 | Sanford Health Network | Clinic/Center | 701 3rd Ave S, Clear Lake, SD 57226-2016 | 2007-02-12 |
| 1083708267 | Sanford Health Network | Clinic/Center | 701 3rd Ave S, Clear Lake, SD 57226-2016 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123218 | Mchs Hospitals, Inc. | Clinic/Center | 3606 Schneider Ave Se, Menomonie, WI 54751-5674 | 2020-01-13 |
| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| 1851345268 | Amery Regional Medical Center, Inc. | Clinic/Center | 137 First Ave, Luck, WI 54853-9057 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
| City | CLEAR LAKE |
| Zip Code | 54005 |
Please comment or provide details below to improve the information on AMERY REGIONAL MEDICAL CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.