NPIMap

Organization Active NPI

Gundersen Lutheran Medical Center, Inc

Doing business as Emplify Health Onalaska Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Onalaska, WI
National Provider Identifier
1871837567
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Doing business as
Emplify Health Onalaska Behavioral Health
Practice address
123 16TH Ave S
Onalaska, WI 54650-3109
Phone
(608) 782-7300
NPI assigned
Nov 19, 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 NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

123 16TH Ave S
Onalaska, WI 54650-3109

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
11012926MedicaidWI
42194300MedicaidWI
42212400MedicaidWI
765347600MedicaidMN
11012900MedicaidWI
0699017MedicaidIA

Other names 2

  • Emplify Health Onalaska Behavioral Health Doing business as
  • GLMC ONALASKA ANNEX BH Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000665 WI Part A Provider - Hospital 2163331414 6 other NPIs on this enrollment
Practice locations: La Crosse, WI; Onalaska, WI; Winona, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871837567. 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 6

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

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

National Provider Directory

National Provider Directory
Tax ID family
Gundersen Lutheran Medical Center27 organizations share this tax ID, including this one
Part of
Gundersen Lutheran Medical Center

Other organizations with this tax ID 26

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

View all 26

Locations

114 Fisher Ave
Ossian, IA 52161
Phone (563) 532-9440

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

115 Lyndale St N
Mabel, MN 55954
Phone (507) 493-5436

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

1614 Henry Johns Blvd
Bangor, WI 54614
Phone (608) 775-8709

101 Juniper Ln
Holmen, WI 54636
Phone (608) 526-6796

1207 Mulberry Ln
La Crosse, WI 54603
Phone (608) 775-0950

1843 Sims Pl
La Crosse, WI 54601
Phone (608) 775-4735

2555 7th St S
La Crosse, WI 54601
Phone (608) 775-8280

724 Denton St
#2
La Crosse, WI 54601
Phone (608) 775-8400

811 Monitor St
Ste 101
La Crosse, WI 54603
Phone (608) 775-8400

914 Green Bay St
Ste 101
La Crosse, WI 54601
Phone (608) 775-8274

700 S Fremont St
Prairie du Chien, WI 53821
Phone (608) 326-8471

1051 Clark St
Reedsburg, WI 53959
Phone (608) 524-4371

505 Gopher Dr
Ste B
Tomah, WI 54660

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.

Facilities with the same owner 49

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 49

Practitioners & affiliated clinicians

Practitioners 1,592

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 1,592

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": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1871837567",
    "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": "123 16TH AVE S",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503109",
            "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": "2012-11-19",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11012926",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42194300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42212400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765347600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11012900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0699017",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emplify Health Onalaska Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GLMC ONALASKA ANNEX BH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Onalaska, WI

Sources for this page

Verify at the official NPI Registry.