GUNDERSEN CLINIC LTD. NPI 1316987191

NPI Information

NPI: 1316987191
Provider Name: GUNDERSEN CLINIC, LTD.

Other Name: BEHAVIORAL HEALTH - ONALASKA

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
123 16TH AVE S
ONALASKA, WI
ZIP 54650
Phone: (608) 782-7300
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GUNDERSEN CLINIC, LTD. is a mental health (including community mental health center) clinic center in Onalaska, WI. GUNDERSEN CLINIC, LTD. NPI is 1316987191. The provider is registered as an organization entity type.
The provider Other Name Is Behavioral Health - Onalaska.

The provider's business location address is:

123 16TH AVE S
ONALASKA, WI
ZIP 54650-109
Phone: (608) 782-7300

The provider's authorized official is Kari B Adank .
The authorized official title is Cco and has the following contact phone number (608) 775-8025.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 8/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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