Organization
AMERY REGIONAL MEDICAL CENTER, INC
Active
Other names
Turtle Lake Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA A RUDQUIST FACHE (PRESIDENT/CEO)
(715) 268-8000
Entity
Organization
Contact information
Practice address
550 MARTIN AVE W, TURTLE LAKE MEDICAL CLINIC, TURTLE LAKE, WI 54889-9069
(715) 986-4101
(715) 986-4033
Mailing address
265 GRIFFIN ST E, AMERY REGIONAL MEDICAL CENTER, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720050909
VERONICA MINIER, MD
WI
01
—
1861552010
CARLA VOSSEN NP
WI
01
—
528561
RURAL HEALTH CLINIC
WI
01
—
52DD397211
CLIA
—
Enumeration date
04/16/2007
Last updated
04/10/2015
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