Organization Name: | AMERY REGIONAL MEDICAL CENTER, INC |
NPI Number: | 1366878449 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA A RUDQUIST (PRESIDENT/CEO) |
Mailing Address: | 357 Third Ave Clear Lake |
State: | WI US |
Postal Code: | 540050177 |
Phone Number: | 7152688000 |
Fax Number: | 7152683102 |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |