NPIMap

Organization Active NPI

Gundersen Lutheran Medical Center Inc

  • General Acute Care Hospital
  • La Crosse, WI
National Provider Identifier
1376593442
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER INC
Practice address
1910 South Ave
La Crosse, WI 54601
Phone
(608) 775-4370
Fax
(608) 775-7440
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Debra L Van Pay
Title
Director, Reimbursement
Phone
(920) 436-8628

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
General Acute Care Hospital 282N00000X Primary
Clinical Medical Laboratory 291U00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1910 South Ave
La Crosse, WI 54601

Mailing address

1910 South Ave
La Crosse, WI 54601-5467
Phone (608) 782-7300

Other identifiers 19

IdentifierTypeStateIssuer
11012926MedicaidWI
32945900MedicaidWI
33072600MedicaidWI
419555800MedicaidMN
42194300MedicaidWI
42220300MedicaidWI
42228900MedicaidWI
169555000MedicaidMN
42051000MedicaidWI
0699017MedicaidIA
11012900MedicaidWI
100020154MedicaidWI
42050900MedicaidWI
42063400MedicaidWI
765347600MedicaidMN
42053600MedicaidWI
42150400MedicaidWI
42212400MedicaidWI
44003500MedicaidWI

Other names 1

  • Emplify Health La Crosse Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, IL10 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20031111000665 WI Part A Provider - Hospital 2163331414 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Crosse, WI; Onalaska, WI; Winona, MN
O20040109000606 WI Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163331414 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tomah, WI
O20040109000906 WI Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163331414 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prairie Du Chien, WI
O20040112000075 WI Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163331414 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Viroqua, WI
O20050512000319 WI Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163331414 1 other NPI on this enrollment
Practice locations: La Crosse, WI
O20100308000562 WI Part A Provider - End-Stage Renal Disease Facility (ESRD) 2163331414 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Onalaska, WI
O20130619000254 WI Part B Supplier - Clinic/Group Practice 2163331414 Receives reassigned benefits from 1,598 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20130807000951 MN Part B Supplier - Clinic/Group Practice 2163331414 Receives reassigned benefits from 318 practitioners
2 other NPIs on this enrollment
Practice locations: Rochester, MN; Winona, MN; Goodview, MN
O20200221000016 WI Part B Supplier - Opioid Treatment Program (Otp) 2163331414 Practice locations: La Crosse, WI
O20221121000252 IL Part B Supplier - Clinic/Group Practice 2163331414 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Libertyville, IL; Naperville, IL; Rockford, IL

Hospital certification: CCN 520087

Legal name
GUNDERSEN LUTHERAN MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 7, 2016
Beds
325
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1910 South Ave
La Crosse, WI 54601-5467
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 23

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

View all 23

Care Compare: Hospital

Medicare Care Compare
Listed as
Gundersen Lutheran Medical CenterCCN 520087
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

2521 Stockton Blvd
Ste 4100
Sacramento, CA 95817
Phone (916) 734-5846

1140 Main St
La Crosse, WI 54601
Phone (608) 519-5473

123 16th Ave S
Onalaska, WI 54650
Phone (608) 775-2287

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Andrea Hauser Individual Corporate Director Nov 30, 2022
Scott Rathgaber Individual Corporate DirectorCeo Jan 1, 2016
Bryan Erdmann Individual Corporate Director Nov 30, 2022
Bellin Gundersen Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 30, 2022 100%
Operational/Managerial Control Nov 30, 2022 100%
Lindsay Boehm Individual W-2 Managing Employee Feb 1, 2022
Todd J Kowalski Individual Corporate Director Nov 30, 2022
Heather Schimmers Individual Corporate Director Nov 30, 2022
Gundersen Lutheran Health System Inc Organization, La Crosse, WI Non-profit 5% Or Greater Direct Ownership Interest Jun 10, 1996 100%
Operational/Managerial Control May 15, 2009 100%
Jennifer E Kleven Individual Corporate DirectorBoard Member Jan 1, 2023
Kari B Adank Individual Corporate Director Jun 14, 2010
W-2 Managing EmployeeVP Compliance Office Jun 14, 2010

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 1,327

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,327

Affiliated clinicians 1,068

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,068

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1376593442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015467",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-775-4370",
            "fax_number": "608-775-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN LUTHERAN MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "VAN PAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "920-436-8628"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
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        },
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    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emplify Health La Crosse Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.