GUNDERSEN LUTHERAN MEDICAL CENTER INC NPI 1871837567

NPI Information

NPI: 1871837567
Provider Name: GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Other Name: GLMC ONALASKA ANNEX BH
Address: 123 16TH AVE S
ONALASKA, WI
ZIP 54650
Phone: (608) 782-7300

Map and Directions

Get Directions

NPI Details

GUNDERSEN LUTHERAN MEDICAL CENTER, INC is a mental health (including community mental health center) clinic center in Onalaska, WI. GUNDERSEN LUTHERAN MEDICAL CENTER, INC NPI is 1871837567. The provider is registered as an organization entity type.
The provider Other Name Is Glmc Onalaska Annex Bh.

The provider's business location address is:

123 16TH AVE S
ONALASKA, WI
ZIP 54650-109
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 11/19/2012 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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
1	11012926	MEDICAID	WISCONSIN
2	42212400	MEDICAID	WISCONSIN
3	42194300	MEDICAID	WISCONSIN
4	0699017	MEDICAID	IOWA
5	11012900	MEDICAID	WISCONSIN
6	765347600	MEDICAID	MINNESOTA

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

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