| Amery Regional Medical Center, Inc | |
|
265 Griffin St E Amery WI 54001-1439 | |
| (715) 268-0301 | |
| Not Available |
| Full Name | Amery Regional Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 265 Griffin St E, Amery, Wisconsin |
| Authorized Official Name and Position | Jason James Luhrs (CFO) |
| Authorized Official Contact | 7152432852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amery Regional Medical Center, Inc 265 Griffin St E Amery WI 54001-1439 Ph: (715) 268-0301 | Amery Regional Medical Center, Inc 265 Griffin St E Amery WI 54001-1439 Ph: (715) 268-0301 |
| NPI Number | 1659927069 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Medicare PECOS PAC ID | 2769391960 |
|---|---|
| Medicare Enrollment ID | O20200122003313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659927069 | NPI | - | NPPES |
| 11007610 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Lynnelle R Gabriel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063465771 PECOS PAC ID: 8325054174 Enrollment ID: I20060302000490 |
| Provider Name | Fadi Sabbagh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275597858 PECOS PAC ID: 9133123243 Enrollment ID: I20060901000364 |