LUCK MEDICAL CLINIC (NPI# 1649435876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649435876 |
| Entity Type | Organization |
| Organization Name | LUCK MEDICAL CLINIC |
| Practice Address |
137 1st Ave Luck WI 54853 |
| Mailing Address |
Po Box 356 Luck WI 54853-0356 |
| Practice Telephone | 7154722177 |
| Practice Fax Number | 7154728787 |
| Mailing Telephone | 7154722177 |
| Mailing Fax Number | 7154728787 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | SCOTT EDIN (CFO ADMINISTRATOR FINANCE) |
| Authorized Official Telephone | 7152680301 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERY REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
43060600 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32832000 | 05 |
| Street Address |
137 1ST AVE |
| City | LUCK |
| State | WI |
| Zip Code | 54853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881242535 | Michelle Amanda Shalander | Dental Hygienist | 308 S 1st Street, Luck, WI 54853 | 2019-08-27 |
| 1033387006 | Dennis Edgar Simpson | Dentist | 2375 108th Street, Luck, WI 54853 | 2008-02-13 |
| 1265547442 | Dann R Rowe | Dentist | 308 1st St S, Luck, WI 54853 | 2006-08-20 |
| 1548219694 | Kenneth Scott Nelson | Pharmacist | 132 S. Main, Luck Pharmacy Inc, Luck, WI 54853 | 2006-05-08 |
| 1902129828 | Cheryl Ann Mertens | Pharmacist | 132 S Main St, Luck, WI 54853 | 2010-03-05 |
| 1033210638 | Luck Pharmacy Inc | Pharmacy | 132 S Main St, Luck, WI 54853 | 2006-09-26 |
| 1346470457 | Lucas Andrew Boe | Pharmacist | 132 South Main Street, Luck, WI 54853-0172 | 2009-07-23 |
| 1063588333 | Todd James Elert | Chiropractor | 15 2nd Ave E, Luck, WI 54853-0266 | 2006-11-28 |
| 1508037268 | The Physical Therapy Center, Sc | Clinic/Center | 210 W Butternut, Luck, WI 54853-0561 | 2008-03-20 |
| 1710045265 | Richard Alfred Huset | Family Medicine | 2158 295th Ave, Luck, WI 54853-3419 | 2006-12-05 |
| Find all providers in zip 54853 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851345268 | Amery Regional Medical Center, Inc. | Clinic/Center | 137 First Ave, Luck, WI 54853-9057 | 2006-05-20 |
| 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 | ||||
Please comment or provide details below to improve the information on LUCK MEDICAL CLINIC.
| 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.