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GUNDERSEN CLINIC LTD NPI 1396412441


NPI Information

NPI: 1396412441
Provider Name: GUNDERSEN CLINIC LTD

Other Name: GHS ONALASKA YMCA PT OT

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 52D2142306

Address:
400 MASON ST STE 200
ONALASKA, WI
ZIP 54650
Phone: (608) 782-9622
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GUNDERSEN CLINIC LTD is a clinic center in Onalaska, 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 1396412441. The provider is registered as an organization entity type.
The provider Other Name Is Ghs Onalaska Ymca Pt Ot.

The provider's business location address is:

400 MASON ST STE 200
ONALASKA, WI
ZIP 54650-032
Phone: (608) 782-9622

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 52D2142306 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/26/2021 and was last updated on 6/14/2022.


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: 5/5/2024

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