GUNDERSEN CLINIC LTD (NPI# 1396099065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396099065 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC LTD |
| Other Organization Name | GL PILGRIMS CLINIC ARCADIA |
| Practice Address |
108 S 3rd St Arcadia WI 54612 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | KARI B ADANK (CCO) |
| Authorized Official Telephone | 6087758025 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUNDERSEN CLINIC LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GL PILGRIMS CLINIC ARCADIA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1225503428 | Gundersen Clinic Ltd | Pharmacy | 123 Hale Dr Ste 1, Holmen, WI 54636-8933 | 2018-10-04 |
| 1396234837 | Gundersen Clinic Ltd | Optometrist | 402a W Lake St, Friendship, WI 53934 | 2018-05-09 |
| 1235773136 | Gundersen Clinic Ltd | Pharmacy | 1122 W Highway 61 Ste A, Winona, MN 55987-1957 | 2019-11-04 |
| 1164080099 | Gundersen Clinic Ltd | Clinic/Center | 201 3rd St N, La Crosse, WI 54601-3208 | 2019-06-05 |
| 1952967358 | Gundersen Clinic Ltd | Pharmacy | 505 Gopher Dr Ste A, Tomah, WI 54660-4513 | 2019-05-13 |
| 1245705441 | Gundersen Clinic Ltd | Pharmacy | 2511 Green Bay St, La Crosse, WI 54601-5900 | 2018-10-04 |
| 1497220693 | Gundersen Clinic Ltd | Pharmacy | 111 Sand Lake Rd, Onalaska, WI 54650-2760 | 2018-10-04 |
| 1306347141 | Gundersen Clinic Ltd | Clinic/Center | 516 Montgomery St, Decorah, IA 52101-2720 | 2018-02-27 |
| 1497256408 | Gundersen Clinic Ltd | Clinic/Center | 316 3rd Ave E, Cresco, IA 52136-1410 | 2018-02-24 |
| Street Address |
108 S 3RD ST |
| City | ARCADIA |
| State | WI |
| Zip Code | 54612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972605731 | Alan J Bassuener | Chiropractor | 308 St Joseph Ave Suite 2, Arcadia, WI 54612 | 2006-09-02 |
| 1841231354 | Iwona E Lewis | Physical Therapist | 464 S St Joseph Avenue, Arcadia, WI 54612 | 2006-06-08 |
| 1023008547 | Bert S Hodous | Family Medicine | 895 Dettloff Dr, Arcadia, WI 54612 | 2005-10-26 |
| 1831448299 | Mary A. Green | Nurse Practitioner | 895 Dettloff Dr, Arcadia, WI 54612 | 2012-08-31 |
| 1508937780 | David E Brown | Counselor | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-11-10 |
| 1679510507 | Janet W Butler | Social Worker | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-05-31 |
| 1992700421 | Connie M Hoppe | Nurse Practitioner | 209 N 3rd St, Arcadia, WI 54612-1002 | 2005-06-21 |
| 1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
| 1750779013 | Holly Marie Glanville | Registered Nurse | 625 W Main St, Arcadia, WI 54612-1227 | 2015-01-08 |
| 1215270202 | Gundersen Clinic Ltd | Non-Pharmacy Dispensing Site | 625 W Main St, Arcadia, WI 54612-1227 | 2013-03-28 |
| Find all providers in zip 54612 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326537911 | Natural Health Care Inc | Clinic/Center | 1434 S Baldwin Ave, Arcadia, CA 91007 | 2018-05-09 |
| 1710344197 | Valley Gastroenterology Consultants | Clinic/Center | 488 E Santa Clara St Ste 103, Arcadia, CA 91006-7231 | 2016-01-15 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1467740175 | Liang Zhang | Clinic/Center | 650 W Duarte Rd # 102, Arcadia, CA 91007-7617 | 2011-07-14 |
| 1861620205 | Msbj, Inc. | Clinic/Center | 38 E Huntington Dr Ste B, Arcadia, CA 91006-7048 | 2009-06-24 |
| 1841489028 | Procare Chiropractic S.c. | Clinic/Center | 308 S Saint Joseph Ave Ste 2, Arcadia, WI 54612-1439 | 2007-10-23 |
| 1124353180 | Shye-ren Yeh, M.d., Inc. | Clinic/Center | 638 W Duarte Rd, Suite 8, Arcadia, CA 91007-7616 | 2009-10-08 |
| 1457598195 | Sunshine T C M Healing Center Inc | Clinic/Center | 650 W Duarte Rd, #168, Arcadia, CA 91007-7617 | 2009-01-16 |
| 1043466279 | Gundersen Clinic, Ltd. | Clinic/Center | 625 W Main St, Arcadia, WI 54612-1227 | 2008-08-07 |
| 1114113164 | Arcadia Open Mri Diagnostic Center | Clinic/Center | 440 E Huntington Dr, Suite 102, Arcadia, CA 91006-3776 | 2007-09-22 |
| Find all providers in ARCADIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.