Gundersen Clinic, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GUNDERSEN CLINIC, LTD.

Practice address

724 Denton St
La Crosse, WI 54601-5447

Phone

(608) 782-7300

NPI assigned

Mar 22, 2007

Last updated

Nov 6, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

GUNDERSEN CLINIC LTDAs reported in NPPES

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

Authorized official

Name

Kari B Adank

Title

Cco

Phone

(608) 775-8025

Specialties & licenses 2

Addresses

Other names 1

• GL East Building Other name

Part of

Gundersen Lutheran-Toma

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1285750091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 DENTON ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015447",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN CLINIC, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN CLINIC LTD",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "ADANK",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "608-775-8025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GL East Building",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gundersen Clinic LTD (Gundersen Long Term Care Pharmacy)
• Gundersen Clinic LTD
• Gundersen Clinic LTD
• Gundersen Clinic LTD (Gundersen Health System la Crosse North Building)
• Gundersen Clinic, LTD. (Gundersen Pharmacy)
• Gundersen Clinic, LTD.
• Gundersen Clinic,LTD
• Gundersen Hospital at Home LLC
• Gundersen Lutheran Admin SVCS
• Gundersen Lutheran Express Care, Inc

• Clinic/Center in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.