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General NPI Number Information
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NPI Number | 1538384466
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Entity Type | Organization
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Legal Business Name | AMERY REGIONAL MEDICAL CENTER, INC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 550 MARTIN AVE W TURTLE LAKE MEDICAL CLINIC
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City | TURTLE LAKE
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State | WI
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Zip | 54889-9069
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Country | US
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Telephone | 715-986-4101
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Fax | 715-986-4033
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Provider Business Mailing Address
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Address Line | 265 GRIFFIN ST E AMERY REGIONAL MEDICAL CENTER
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City | AMERY
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State | WI
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Zip | 54001-1439
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Country | US
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Telephone | 715-268-8000
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Fax | 715-268-0311
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DEBRA A RUDQUIST
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Credential | FACHE
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Telephone | 715-268-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | WI
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