GUNDERSEN LUTHERAN MEDICAL CENTER, INC. (NPI# 1467468173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467468173 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN LUTHERAN MEDICAL CENTER, INC. |
| Other Organization Name | GUNDERSEN AIR |
| Practice Address |
1900 South Ave La Crosse WI 54601-5467 |
| Mailing Address |
1910 South Ave La Crosse WI 54601-5467 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | KARI B ADANK (CCO) |
| Authorized Official Telephone | 6087758025 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUNDERSEN LUTHERAN MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
6001336 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41442400 | 05 | |
| MN | 765347600 | 05 | |
| IA | 0991679 | 05 |
| Other Name | Type Code |
|---|---|
| GUNDERSEN AIR | Doing Business As Name - Organization |
| MedLink AIR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447478607 | Gundersen Lutheran Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 1910 South Ave, La Crosse, WI 54601-5467 | 2007-04-23 |
| 1972675155 | Gundersen Lutheran Medical Center, Inc. | Rehabilitation Unit | 1910 South Ave, La Crosse, WI 54601-5467 | 2006-11-14 |
| 1013943893 | Gundersen Lutheran Medical Center, Inc. | Hospice Care, Community Based | 1910 South Ave, La Crosse, WI 54601-5467 | 2006-06-24 |
| 1366478141 | Gundersen Lutheran Medical Center, Inc. | Home Health | 1910 South Ave, La Crosse, WI 54601-5467 | 2006-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GUNDERSEN LUTHERAN MEDICAL CENTER, INC. | 1910 South Avenue, La Crosse, WI 54601 |
| Street Address |
1900 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519575 | Jeffrey P Reiland | Counselor | 1900 South Ave, La Crosse, WI 54601-5467 | 2005-06-21 |
| 1205435096 | Mathew Scott Schober | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-10-22 |
| 1205435062 | Jaclyn Noelle Schlang | Genetic Counselor, MS | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-10-22 |
| 1801402193 | Lisa Elizabeth Knudtson | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-09-22 |
| 1811511355 | Brittany Cincoski | Physician Assistant | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-06-01 |
| 1316598600 | Kessa Lynn Marie Hughes | Nurse Practitioner | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-09-27 |
| 1396304432 | Lauri L Theisen | Registered Nurse | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-06-12 |
| 1114582558 | Nicole Marie Bujnowski | Occupational Therapist | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-05-01 |
| 1275196693 | Sarah Louise Nelson | Counselor | 1900 South Ave, La Crosse, WI 54601-5467 | 2019-04-22 |
| 1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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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.