NPIMap

Gundersen Lutheran Medical Center, Inc

Organization Active NPI Clinic/Center · La Crosse, WI

NPI 1497090138 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1497090138
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Practice address
724 Denton St
La Crosse, WI 54601-5447
Phone
(608) 782-7300
NPI assigned
Dec 6, 2012
Organization subpart
Yes
Parent organization (as reported)
GUNDERSEN LUTHERAN MEDICAL CENTER, INC

Authorized official

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

Owners & managing parties with NPI records 3

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

Other NPIs on the same Medicare enrollment 15

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

Other NPIs with the same Medicare PAC ID 15

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

Corporate family (same tax ID) 26

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

View all 26

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

Practitioners 934

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

View all 934

Affiliated clinicians 1,068

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

View all 1,068

Medicare Care Compare: Hospital

Listed as
Gundersen Lutheran Medical Center CCN 520087
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gundersen Lutheran Medical Center I
724 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 assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in WI

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
Corporation · Non-profit
Enrollment address
1910 South Ave
La Crosse, WI 54601-5467
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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 Director
Ceo		 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 Director
Board Member		 Jan 1, 2023
Kari B Adank
Individual 		Corporate Director Jun 14, 2010
W-2 Managing Employee
VP Compliance Office		 Jun 14, 2010

Medicare enrollment records

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 - Optometrist
DME Supplier - Optician		 2163331414 Practice locations: La Crosse, WI

National Provider Directory

Tax ID family
Lutheran HSP-la Crosse (27 organizations share this tax ID)
Part of
Lutheran HSP-la Crosse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes
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 identifiers

IdentifierTypeStateIssuer
765347600MedicaidMN
11012900MedicaidWI
100020154MedicaidWI
42194300MedicaidWI
0699017MedicaidIA

Other names

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

Other providers in La Crosse, WI

All providers in La Crosse, WI · Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.