| Amery Hospital & Clinic - Luck | |
|
137 First Ave Luck WI 54853-9057 | |
| (715) 472-2177 | |
| (715) 472-8787 |
| Full Name | Amery Hospital & Clinic - Luck |
|---|---|
| Speciality | Clinic/Center |
| Location | 137 First Ave, Luck, Wisconsin |
| Authorized Official Name and Position | Debra A. Rudquist (CEO) |
| Authorized Official Contact | 7152688000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amery Hospital & Clinic - Luck 265 Griffin St E Amery WI 54001-1439 Ph: (715) 268-8000 | Amery Hospital & Clinic - Luck 137 First Ave Luck WI 54853-9057 Ph: (715) 472-2177 |
| NPI Number | 1851345268 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 04/22/2016 |
| Medicare PECOS PAC ID | 2769391960 |
|---|---|
| Medicare Enrollment ID | O20030324000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851345268 | NPI | - | NPPES |
| 521308 | Other | WI | NON-RHC MC PROV |
| 32832000 | Medicaid | WI | |
| 43060600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |