Gundersen Clinic LTD
Organization Active NPI Clinic/Center · La Crosse, WI
NPI 1104373885 · NPPES record last updated Aug 6, 2021
Key facts
- NPI
- 1104373885
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- GUNDERSEN CLINIC LTD
- Practice address
- 1140 Main St
La Crosse, WI 54601-4124 - Phone
- (608) 782-9622
- NPI assigned
- Sep 9, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- GUNDERSEN CLINIC LTD
Authorized official
- Name
- Kari B Adank
- Title
- Cco
- Phone
- (608) 775-8025
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- La Liberte-Gundersen VI
- Part of
- La Liberte-Gundersen VI
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1140 Main St
La Crosse, WI 54601-4124
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other names
- GUNDERSEN HEALTHY LIVING CENTER
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.