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AMERY REGIONAL MEDICAL CENTER INC NPI 1538384466


NPI Information

NPI: 1538384466
Provider Name: AMERY REGIONAL MEDICAL CENTER, INC

Doing Business As: TURTLE LAKE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 52D0397211

Address:
550 MARTIN AVE W
TURTLE LAKE MEDICAL CLINIC
TURTLE LAKE, WI
ZIP 54889
Phone: (715) 986-4101
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AMERY REGIONAL MEDICAL CENTER, INC is a rural health clinic center in Turtle Lake, WI. AMERY REGIONAL MEDICAL CENTER, INC NPI is 1538384466. The provider is registered as an organization entity type.
The provider Is Doing Business As Turtle Lake Clinic.

The provider's business location address is:

550 MARTIN AVE W
TURTLE LAKE MEDICAL CLINIC
TURTLE LAKE, WI
ZIP 54889-069
Phone: (715) 986-4101
Fax: (715) 986-4033

The provider's authorized official is Debra A Rudquist .
The authorized official title is President/ceo and has the following contact phone number (715) 268-8000.

The CLIA number assigned to this NPI record is 52D0397211 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 4/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
152DD397211OTHERCLIA
21861552010OTHERWISCONSINCARLA VOSSEN NP
31720050909OTHERWISCONSINVERONICA MINIER, MD
4528561OTHERWISCONSINRURAL HEALTH CLINIC
5000000496MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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