| Organization Name: | AMERY REGIONAL MEDICAL CENTER, INC |
| NPI Number: | 1699003202 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA A RUDQUIST (PRESIDENT/CEO) |
| Mailing Address: | 230 Deronda St Amery |
| State: | WI US |
| Postal Code: | 540011412 |
| Phone Number: | 7152688000 |
| Fax Number: | 7152680071 |
| NPI Enumeration Date: | 11/20/2009 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 528516 RHC |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |