NPIMap

Organization Active NPI

Gundersen Lutheran Medical Center, Inc

Doing business as Emplify Health East Building

  • Clinic/Center
  • La Crosse, WI
National Provider Identifier
1497090138
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Doing business as
Emplify Health East Building
Practice address
724 Denton St
La Crosse, WI 54601-5447
Phone
(608) 782-7300
NPI assigned
Dec 6, 2012
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNDERSEN LUTHERAN MEDICAL CENTER, INCAs reported in NPPES

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

724 Denton St
La Crosse, WI 54601-5447

Mailing address

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

Other names 2

  • Emplify Health East Building Doing business as
  • GLMC EAST BUILDING Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

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
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
O20130812000865 WI DME Supplier - Physician - OptometristDME Supplier - Optician 2163331414 Practice locations: La Crosse, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497090138. Details of each certification follow.

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 15

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

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
Gundersen Lutheran Medical CenterCCN 520087 · All quality measures
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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gundersen Lutheran Medical Center I724 Denton St, La Crosse, WI 54601-5447(608) 785-0530 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Gundersen Lutheran Med Ctr29 organizations share this tax ID, including this one
Part of
Gundersen Lutheran Med Ctr

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

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 81

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.

View all 81

Affiliated clinicians 1,067

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

View all 1,067

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1497090138",
    "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": "724 DENTON ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015447",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN LUTHERAN MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN LUTHERAN MEDICAL CENTER, INC",
        "enumeration_date": "2012-12-06",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emplify Health East Building",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GLMC EAST BUILDING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.