Organization Active NPI

Amery Regional Medical Center, Inc.

Doing business as Amery Hospital & Clinic - Behavioral Health Center

  • Psychiatric Hospital Unit
  • Amery, WI
National Provider Identifier
1699003202
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
1069 Issued in WI
Legal business name
AMERY REGIONAL MEDICAL CENTER, INC.
Doing business as
Amery Hospital & Clinic - Behavioral Health Center
Practice address
230 Deronda St
Amery, WI 54001-1412
Phone
(715) 268-8000
Fax
(715) 268-0071
NPI assigned
Nov 20, 2009
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Massey
Title
President
Phone
(715) 243-2850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 528516 RHC WI
Psychiatric Hospital Unit 273R00000X 1069 WI Primary

Addresses

Primary practice location

230 Deronda St
Amery, WI 54001-1412

Mailing address

8170 33Rd Ave S
Mailstop 21110Q
Bloomington, MN 55425-4516

Other names 1

  • Amery Hospital & Clinic - Behavioral Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080929000736 WI Part A Provider - Critical Access Hospital 2769391960 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Amery, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699003202. Details of each certification follow.

Hospital certification: CCN 52M308

Legal name
AMERY REGIONAL MEDICAL CENTER INC
Doing business as
AMERY HOSPITAL & CLINIC - BEHAVIORAL HEALTH CENTER
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1998 in WI
Enrollment address
230 Deronda St
Amery, WI 54001-1412
Hospital Psychiatric Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2008895Amery Regional Medical Center- West Campus230 Deronda Street, Amery, WI 54001Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Amery Regional Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Massey Individual Corporate DirectorPresident Apr 27, 2026
Jason Gallagher Individual Corporate Director Jan 1, 2024
Jack R Dressen Individual Corporate Director Jan 1, 2026
Khu Thao Individual Corporate Director Aug 1, 2023
Group Health Plan Inc Organization, Minneapolis, MN Non-profit Operational/Managerial Control Jan 1, 2014
Nicholas Weiss Individual Corporate Director Jan 1, 2026
Melissa Kolb Individual Corporate Director Apr 1, 2020
Michael Anderson Individual Corporate Director Jan 1, 2019
Sharon Tolva Individual Corporate Director Jan 1, 2019
Annie Jacobsen Individual Corporate Director Aug 1, 2023
Mark Gherty Individual Corporate Director May 1, 2018
Richard G Dado Individual Corporate Director Jun 10, 2019
Criag Yehlik Individual Corporate Director Jan 1, 2020
Kris Tjornehoj Individual Corporate Director May 1, 2018
Levon O Haodha Individual Corporate Director Apr 1, 2018
Regan Brown Individual Corporate Director Jan 1, 2019
Alita R Risinger Individual Corporate OfficerSenior VP/Cfo of Care Delivery Jul 1, 2024
Oralee Schock Individual Corporate Director May 1, 2017
Pahoua Hoffman Individual Corporate Director May 1, 2023
Lisa Bjorkman Individual W-2 Managing EmployeeAd; Jul 27, 2015
Bremer Bank National Association Organization, Amery, WI Financial institution 5% Or Greater Security Interest May 27, 2021 24%
Paula Kolbeck Individual Corporate Director Jan 1, 2020
Charles Williamson Individual Corporate Director Mar 1, 2020
Steven Long Individual Corporate Director Oct 26, 2022

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1699003202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MAILSTOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DERONDA ST",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011412",
            "telephone_number": "715-268-8000",
            "fax_number": "715-268-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERY REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-243-2850"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "528516 RHC",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "WI",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amery Hospital & Clinic - Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amery, WI

Sources for this page

Verify at the official NPI Registry.