GUNDERSEN CLINIC LTD. NPI 1568401271

NPI Information

NPI: 1568401271
Provider Name: GUNDERSEN CLINIC, LTD.

Other Name: GL PODIATRY - DECORAH

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
1830 STATE HIGHWAY 9
DECORAH, IA
ZIP 52101
Phone: (608) 782-7300
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GUNDERSEN CLINIC, LTD. is a podiatric clinic center in Decorah, IA. GUNDERSEN CLINIC, LTD. NPI is 1568401271. The provider is registered as an organization entity type.
The provider Other Name Is Gl Podiatry - Decorah.

The provider's business location address is:

1830 STATE HIGHWAY 9
DECORAH, IA
ZIP 52101-301
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 6/6/2006 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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QP1100X	Clinic/Center	Podiatric			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0233450036	OTHER	IOWA	DMERC SUPPLIER

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

NPI Synchronization or Removal

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