Amery Hospital & Clinic - Luck | |
2547 State Road 35 Ste 1 Luck WI 54853-3952 | |
(715) 472-2177 | |
(715) 472-8787 |
Full Name | Amery Hospital & Clinic - Luck |
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Speciality | Clinic/Center |
Location | 2547 State Road 35 Ste 1, 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 |
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Amery Hospital & Clinic - Luck 265 Griffin St E Amery WI 54001-1439 Ph: (715) 268-8000 | Amery Hospital & Clinic - Luck 2547 State Road 35 Ste 1 Luck WI 54853-3952 Ph: (715) 472-2177 |
NPI Number | 1851345268 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 2769391960 |
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Medicare Enrollment ID | O20030324000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851345268 | NPI | - | NPPES |
32832000 | Medicaid | WI | |
43060600 | Medicaid | WI | |
521308 | Other | WI | NON-RHC MC PROV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |