GUNDERSEN CLINIC LTD NPI 1083964969

NPI Information

  • NPI: 1083964969
  • Provider Name: GUNDERSEN CLINIC, LTD
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: GL GALESVILLE CLINIC
  • CLIA Number: 52D2051799
  • Address: 16812 S MAIN ST
    GALESVILLE, WI
    ZIP 54630
  • Phone: (608) 782-7300

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NPI Details

GUNDERSEN CLINIC, LTD is a clinic center in Galesville, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GUNDERSEN CLINIC, LTD NPI is 1083964969. The provider is registered as an organization entity type.
The provider Other Name Is Gl Galesville Clinic.

The provider's business location address is:

16812 S MAIN ST
GALESVILLE, WI
ZIP 54630
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 CLIA number assigned to this NPI record is 52D2051799 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2012 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
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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