AMERY REGIONAL MEDICAL CENTER, INC (NPI# 1538384466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538384466 |
Entity Type | Organization |
Organization Name | AMERY REGIONAL MEDICAL CENTER, INC |
Other Organization Name | TURTLE LAKE CLINIC |
Practice Address |
550 Martin Ave W Turtle Lake Medical Clinic Turtle Lake WI 54889-9069 |
Mailing Address |
265 Griffin St E Amery Regional Medical Center Amery WI 54001-1439 |
Practice Telephone | 7159864101 |
Practice Fax Number | 7159864033 |
Mailing Telephone | 7152688000 |
Mailing Fax Number | 7152680311 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2015-04-10 |
Authorized Official Name | 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 | CARLA VOSSEN NP | 1861552010 | 01 |
WI | VERONICA MINIER, MD | 1720050909 | 01 |
WI | RURAL HEALTH CLINIC | 528561 | 01 |
CLIA | 52DD397211 | 01 |
Other Name | Type Code |
---|---|
Turtle Lake Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
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 |
1093763518 | Amery Regional Medical Center, Inc | General Acute Care Hospital | 265 Griffin St E, Amery, WI 54001-1439 | 2006-05-05 |
Street Address |
550 MARTIN AVE W TURTLE LAKE MEDICAL CLINIC |
City | TURTLE LAKE |
State | WI |
Zip Code | 54889-9069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861552010 | Carla M Vossen | Nurse Practitioner | 550 Martin Ave W, Turtle Lake, WI 54889-9069 | 2006-12-11 |
1942857172 | Sarah L Knutson | Nurse Practitioner | 550 Martin Ave W, Turtle Lake, WI 54889-9069 | 2019-08-22 |
1790137354 | Benjamin David Bogle | Nurse Practitioner | 550 Martin Ave W, Turtle Lake, WI 54889-9069 | 2016-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437518792 | Jena Ann Sleeter | Marriage & Family Therapist | 730 Swede Ave, Turtle Lake, WI 54889 | 2016-02-15 |
1497187074 | Jacob Jensen | Pharmacist | 215 Maple St S, Turtle Lake, WI 54889 | 2013-08-06 |
1669742805 | Jennifer Jo Polich | Dental Hygienist | 225 Ostermann Drive, Cesa #11 Rural Health Dental Clinic, Turtle Lake, WI 54889 | 2012-01-05 |
1689720518 | John Avery Halberg | Pharmacist | James Pharmacy 215 Maple Street, Turtle Lake, WI 54889 | 2007-01-25 |
1861590853 | James Pharmacy - Turtle Lake Ltd | Pharmacy | 215 Maple St, Turtle Lake, WI 54889 | 2006-09-21 |
1033569124 | The Lakes Community Health Center, Inc | Clinic/Center | 730 Swede Ave, Turtle Lake, WI 54889 | 2016-06-20 |
1023388188 | Susanne Rose Knight | Dental Hygienist | 212 Maple Street, Turtle Lake, WI 54889 | 2012-01-06 |
1790043099 | Cumberland Memorial Hospital Inc | Specialist/Technologist | 632 Us Highway 8 W, Turtle Lake, WI 54889-4411 | 2012-04-25 |
1952737264 | Cumberland Memorial Hospital Inc | Clinic/Center | 632 Us Highway 8 W, Turtle Lake, WI 54889-4411 | 2013-09-18 |
1083827919 | Dean M Springer Eyecare Inc | Optometrist | 218 Maple St S, Turtle Lake, WI 54889-8003 | 2007-05-07 |
Find all providers in zip 54889 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336708536 | St. Alexius Medical Center | Clinic/Center | 220 5th Ave W, Turtle Lake, ND 58575-4324 | 2019-06-11 |
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 |
1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
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 |
Find all providers with the same taxonomy |
City | TURTLE LAKE |
Zip Code | 54889 |
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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.