Gundersen Clinic, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GUNDERSEN CLINIC, LTD.

Practice address

106 E Main St
Calmar, IA 52132-7743

Phone

(608) 782-7300

NPI assigned

May 19, 2006

Last updated

Aug 6, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

GUNDERSEN CLINIC, LTD.As 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 Calmar Clinic Other name

Part of

Gunderson Decorah Podiatry

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1306890959",
    "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": "106 E MAIN ST",
            "city": "CALMAR",
            "state": "IA",
            "postal_code": "521327743",
            "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": "2006-05-19",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GL Calmar Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie L Cenek, DNP
• Marie C Conway, BCBA
• Megan Joann Diaz-Freed, DDS
• Beverly Fredrick
• Dennis D Glawe, DO
• Infinite Angels Home Health Inc
• Infinite Angels Home Healthcare
• Darren S Koozer, DC
• Wendy S Kuennen
• Susan K McMillan, APNP

• Clinic/Center in Calmar, IA
• Providers in Calmar, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.