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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | RURAL HEALTH CLINIC LUCK CLINIC | 528516 | 01 |
Other Name | Type Code |
---|---|
Amery Hospital & Clinic - Behavioral Health Center | 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 |
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 |
Street Address |
230 DERONDA ST |
City | AMERY |
State | WI |
Zip Code | 54001-1412 |
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 |
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 Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
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. |
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---|---|---|---|---|
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 |
Find all providers with the same taxonomy |
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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.