GUNDERSEN CLINIC LTD NPI 1619200631

NPI Information

NPI: 1619200631
Provider Name: GUNDERSEN CLINIC LTD

Other Name: GUNDERSEN CLINIC MOBILE MAMMO UNIT

Classification: Clinic/Center - 261QR0207X
Entity Type: Organization

Specialization: Radiology, Mobile Mammography

Address:
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-7300
Get Directions

GUNDERSEN CLINIC LTD is a radiology and mobile mammography clinic center in La Crosse, WI. GUNDERSEN CLINIC LTD NPI is 1619200631. The provider is registered as an organization entity type.
The provider Other Name Is Gundersen Clinic Mobile Mammo Unit.

The provider's business location address is:

1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601-429
Phone: (608) 782-7300
Fax: (608) 775-7440

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 9/9/2009 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	261QR0207X	Clinic/Center	Radiology, Mobile Mammography			Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »