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GUNDERSEN LUTHERAN MEDICAL CENTER INC NPI 1497090138


NPI Information

NPI: 1497090138
Provider Name: GUNDERSEN LUTHERAN MEDICAL CENTER, INC

Other Name: GLMC EAST BUILDING

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
724 DENTON ST
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-7300
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GUNDERSEN LUTHERAN MEDICAL CENTER, INC is a clinic center in La Crosse, 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 LUTHERAN MEDICAL CENTER, INC NPI is 1497090138. The provider is registered as an organization entity type.
The provider Other Name Is Glmc East Building.

The provider's business location address is:

724 DENTON ST
LA CROSSE, WI
ZIP 54601-447
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 12/6/2012 and was last updated on 3/25/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100020154MEDICAIDWISCONSIN
20699017MEDICAIDIOWA
3765347600MEDICAIDMINNESOTA
442194300MEDICAIDWISCONSIN
511012900MEDICAIDWISCONSIN

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: 4/28/2024

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