GUNDERSEN LUTHERAN MEDICAL CENTER, INC.; NPI #1467468173

Contact Information

GUNDERSEN LUTHERAN MEDICAL CENTER, INC.

1900 SOUTH AVE
LA CROSSE, WI 54601-5467

Phone: 608-782-7300
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for GUNDERSEN LUTHERAN MEDICAL CENTER, INC.

NPI Number 1467468173

LBN Legal business name GUNDERSEN LUTHERAN MEDICAL CENTER, INC.

Authorized official KARI ADANK - (CCO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/01/2006

Last updated 01/29/2020 - About 6 years ago

Identifiers

WI	License #	6001336
IA	Medicaid	0991679
MN	Medicaid	765347600
WI	Medicaid	41442400

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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