| Organization Name: | AMERY REGIONAL MEDICAL CENTER, INC. |
| NPI Number: | 1043494859 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK A TRYGGESTAD (DIRECTOR OF PHARMACY) |
| Mailing Address: | 265 Griffin St E Amery |
| State: | WI US |
| Postal Code: | 540011439 |
| Phone Number: | 7152680670 |
| Fax Number: | 7152680673 |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 02/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | 8785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |