Organization
LUCK MEDICAL CLINIC
Active
Parent organization
AMERY REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERY REGIONAL MEDICAL CENTER
Authorized official
SCOTT EDIN CFO (CFO ADMINISTRATOR FINANCE)
(715) 268-0301
Entity
Organization
Contact information
Practice address
137 1ST AVE, LUCK, WI 54853
(715) 472-2177
(715) 472-8787
Mailing address
PO BOX 356, LUCK, WI 54853-0356
(715) 472-2177
(715) 472-8787
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
43060600
WI
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32832000
—
WI
Enumeration date
07/28/2008
Last updated
07/28/2008
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