AMERY REGIONAL MEDICAL CENTER, INC


Address: 230 Deronda St, Amery, WI 54001-1412
Phone: 7152688000

AMERY REGIONAL MEDICAL CENTER, INC (NPI# 1699003202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699003202
Entity Type Organization
Organization Name AMERY REGIONAL MEDICAL CENTER, INC
Other Organization Name AMERY HOSPITAL & CLINIC - BEHAVIORAL HEALTH CENTER
Practice Address 230 Deronda St
Amery
WI 54001-1412
Mailing Address 265 Griffin St E
Amery
WI 54001-1439
Practice Telephone 7152688000
Practice Fax Number 7152680071
Mailing Telephone 7152688000
Mailing Fax Number 7152680261
Enumeration Date 2009-11-20
Last Update Date 2015-02-18
Authorized Official Name DEBRA A RUDQUIST JR. (PRESIDENT/CEO)
Authorized Official Telephone 7152688000
Authorized Official Credential FACHE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
528516 RHC WI Ambulatory Health Care Facilities
Y 273R00000X Psychiatric Unit 1069 WI Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
WI RURAL HEALTH CLINIC LUCK CLINIC 528516 01

Other Provider/Organization Names

Other Name Type Code
Amery Hospital & Clinic - Behavioral Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
1538384466 Amery Regional Medical Center, Inc Clinic/Center 550 Martin Ave W, Turtle Lake Medical Clinic, Turtle Lake, WI 54889-9069 2007-04-16
1093763518 Amery Regional Medical Center, Inc General Acute Care Hospital 265 Griffin St E, Amery, WI 54001-1439 2006-05-05

Office Location

Street Address 230 DERONDA ST
City AMERY
State WI
Zip Code 54001-1412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669422150 Jonathan David Platson Social Worker 230 Deronda St, Amery, WI 54001-1412 2006-05-12
1285189621 Andrew Johnson Nurse Practitioner 230 Deronda St, Amery, WI 54001-1412 2016-08-15
1306298872 Theresa Briggs Social Worker 230 Deronda St, Amery, WI 54001-1412 2016-07-08
1356681308 Miranda Marie Fassbender Counselor 230 Deronda St, Amery, WI 54001-1412 2013-02-27
1144555269 Michael R Stein Social Worker 230 Deronda St, Amery, WI 54001-1412 2009-10-07
1124269881 Gregory H. Garves Social Worker 230 Deronda St, Amery, WI 54001-1412 2009-03-10
1528115722 Noel M. Jarvis Psychiatry & Neurology 230 Deronda St, Amery, WI 54001-1412 2007-01-03
1124190046 Kimberley D Thompson Social Worker 230 Deronda St, Amery, WI 54001-1412 2006-11-15
1568564227 Ronda D Davis Psychiatry & Neurology 230 Deronda St, Amery, WI 54001-1412 2006-09-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124313424 Heather Rose Marks Dentist 1030 Riverplace Drive, Amery, WI 54001 2011-06-14
1003142803 Linda Christine Mueller Counselor 236 Griffin, Amery, WI 54001 2009-10-29
1952538548 Samantha E. Kealey Emergency Medicine 265 Griffin St. E., Amery, WI 54001 2009-06-22
1578753448 Bethann M Monson Occupational Therapy Assistant 220 N Keller Avene, Amery, WI 54001 2007-07-27
1912109851 Jill R. Ladwig Physical Therapy Assistant 220 Keller Avenue, Amery, WI 54001 2007-06-04
1376601674 Nancy A Reinhardt Occupational Therapist 505 Keller Ave S, Amery, WI 54001 2006-12-05
1093873390 Jessica L Bradford Occupational Therapist 505 Keller Ave Sq, Amery, WI 54001 2006-12-05
1548354244 A Touch of Life Inc. Chiropractor 308 North Keller Avenue, Amery, WI 54001 2006-10-03
1568566057 Douglas D Podoll Dds Dc Dentist 404 Wisconsin Ave, Amery, WI 54001 2006-09-12
1275928616 Maria Finke Emergency Medicine 265 Griffin St E, Amery, WI 54001 2015-04-02
Find all providers in zip 54001

Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003182346 James Arthur Hennes Psychiatric Unit 515 Veterans St., Tomah, WI 54660 2012-03-30
1417170283 Aurora Health Care Metro, Inc. Psychiatric Unit 2900 W Oklahoma Ave., Milwaukee, WI 53215 2007-04-10
1811926132 Columbia St. Mary's Hospital Milwaukee, Inc Psychiatric Unit 2323 N Lake Drive, Milwaukee, WI 53211-4508 2006-06-30
1437105624 Community Memorial Hospital of Menomonee Falls Inc Psychiatric Unit W180 N 8085 Town Hall Rd, Menomonee Falls, WI 53052 2006-05-26
1740747559 Columbia St Mary's Hospital Ozaukee, Inc. Psychiatric Unit 13111 N Port Washington Rd, Mequon, WI 53097-2416 2019-02-28
1093205163 Ascension Ne Wisconsin, Inc Psychiatric Unit 500 S Oakwood Rd, Oshkosh, WI 54904 2018-05-15
1528560018 Watertown Medical Center LLC Psychiatric Unit 125 Hospital Drive, Watertown, WI 53098 2018-03-01
1982901542 Milwaukee County Mental Health Division Psychiatric Unit 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 2011-02-17
1629221502 Mohammad Mallick, Md, LLC Psychiatric Unit 1525 Liberty Ct, Brookfield, WI 53045-5327 2008-10-23
1184800468 St. Josephs Community Hospital of West Bend Inc. Psychiatric Unit 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 2008-01-16
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Competitor

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City AMERY
Zip Code 54001

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Dataset Information

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.

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