Active NPI
Amery Regional Medical Center, Inc.
Doing business as Amery Hospital & Clinic - Behavioral Health Center
- Psychiatric Hospital Unit
- Amery, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 1069
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jul 1, 1998 in WI
- Enrollment address
- 230 Deronda St
Amery, WI 54001-1412
Related certifications (CCN) 4
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
Unit of hospital
-
dba Amery Hospital & Clinic -Clear Lake Clinic
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
Unit of hospital
-
dba Turtle Lake Clinic
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Unit of hospital
-
dba Amery Hospital & Clinic - Luck
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
Unit of hospital
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Amery Community Pharmacy
- Community/Retail Pharmacy
- Amery, WI
- NPI 1891387502
2769391960
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
2769391960
-
dba Amery Hospital & Clinic -Clear Lake Clinic
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
2769391960
-
dba Turtle Lake Clinic
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
2769391960
-
dba Amery Hospital & Clinic
- Rural Health Clinic/Center
- Amery, WI
- NPI 1659927069
2769391960
-
dba Amery Hospital & Clinic - Luck
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
2769391960
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
O20080929000736
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2008895 | Amery Regional Medical Center- West Campus | Certificate of waiver | Jun 20, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Amery Regional Medical Center
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Amery, WI
- NPI 1477867745
-
dba Amery Community Pharmacy
- Community/Retail Pharmacy
- Amery, WI
- NPI 1891387502
-
dba Amery Hospital & Clinic -Clear Lake Clinic
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
dba Luck Medical Clinic
- Rural Health Clinic/Center
- Luck, WI
- NPI 1649435876
-
dba Amery Hospital & Clinic
- Rural Health Clinic/Center
- Amery, WI
- NPI 1659927069
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Steven Massey | Corporate Director | Apr 27, 2026 | |
| Jason Gallagher | Corporate Director | Jan 1, 2024 | |
| Jack R Dressen | Corporate Director | Jan 1, 2026 | |
| Khu Thao | Corporate Director | Aug 1, 2023 | |
| Group Health Plan Inc | Operational/Managerial Control | Jan 1, 2014 | |
| Nicholas Weiss | Corporate Director | Jan 1, 2026 | |
| Melissa Kolb | Corporate Director | Apr 1, 2020 | |
| Michael Anderson | Corporate Director | Jan 1, 2019 | |
| Sharon Tolva | Corporate Director | Jan 1, 2019 | |
| Annie Jacobsen | Corporate Director | Aug 1, 2023 | |
| Mark Gherty | Corporate Director | May 1, 2018 | |
| Richard G Dado | Corporate Director | Jun 10, 2019 | |
| Criag Yehlik | Corporate Director | Jan 1, 2020 | |
| Kris Tjornehoj | Corporate Director | May 1, 2018 | |
| Levon O Haodha | Corporate Director | Apr 1, 2018 | |
| Regan Brown | Corporate Director | Jan 1, 2019 | |
| Alita R Risinger | Corporate Officer | Jul 1, 2024 | |
| Oralee Schock | Corporate Director | May 1, 2017 | |
| Pahoua Hoffman | Corporate Director | May 1, 2023 | |
| Lisa Bjorkman | W-2 Managing Employee | Jul 27, 2015 | |
| Bremer Bank National Association | 5% Or Greater Security Interest | May 27, 2021 | 24% |
| Paula Kolbeck | Corporate Director | Jan 1, 2020 | |
| Charles Williamson | Corporate Director | Mar 1, 2020 | |
| Steven Long | 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.
-
dba Park Nicollet Pharmacy #87017
- Community/Retail Pharmacy
- St Louis Park, MN
- NPI 1104360973
Operational/Managerial Control
-
dba HealthPartners West Clinic
- Durable Medical Equipment & Medical Supplies
- St Louis Park, MN
- NPI 1194886002
Operational/Managerial Control
-
dba HealthPartners Central Lab
- Clinical Medical Laboratory
- Eden Prairie, MN
- NPI 1215048913
Operational/Managerial Control
-
dba HealthPartners Woodbury Eye Clinic
- Durable Medical Equipment & Medical Supplies
- Woodbury, MN
- NPI 1386705291
Operational/Managerial Control
-
dba HealthPartners Bloomington Clinic
- Durable Medical Equipment & Medical Supplies
- Bloomington, MN
- NPI 1619037660
Operational/Managerial Control
-
dba HealthPartners Home Medical
- Durable Medical Equipment & Medical Supplies
- Saint Paul, MN
- NPI 1689804064
Operational/Managerial Control
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
Operational/Managerial Control
-
dba HealthPartners Apple Valley Clinic
- Durable Medical Equipment & Medical Supplies
- Apple Valley, MN
- NPI 1801957717
Operational/Managerial Control
-
dba HealthPartners Hospice and Palliative Care
- Community Based Hospice Care Agency
- Bloomington, MN
- NPI 1871534628
Operational/Managerial Control
-
dba HealthPartners Arden Hills Eye Clinic
- Durable Medical Equipment & Medical Supplies
- Arden Hills, MN
- NPI 1982764130
Operational/Managerial Control
-
- Hematology & Oncology Physician
- Stillwater, MN
- NPI 1780002592
Corporate Director
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
Group Health Plan Inc
-
dba Amery Hospital & Clinic -Clear Lake Clinic
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
Group Health Plan Inc
-
dba Turtle Lake Clinic
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Group Health Plan Inc
-
dba Amery Hospital & Clinic
- Rural Health Clinic/Center
- Amery, WI
- NPI 1659927069
Group Health Plan Inc
-
dba Amery Hospital & Clinic - Luck
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
Group Health Plan Inc
-
dba Hudson Hospital & Clinics
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
Group Health Plan Inc
-
dba Westfields Hospital
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
Group Health Plan Inc
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
- Amery Regional Medical Center
- Amery Regional Medical Center, Inc (Amery Community Pharmacy)
- Amery Regional Medical Center, Inc.
- Amery Regional Medical Center, Inc. (Amery Hospital & Clinic)
- Amery Regional Medical Center, Inc. (Amery Hospital & Clinic)
- Nathan Patrick Anderson, M.D.
- Tiffany Anderson
- Murad Aslam, DPT
- Aspen Guardian Services, Inc.
- Lynnette A Barrineau, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.