GUNDERSEN CLINIC, LTD. (NPI# 1487606406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487606406 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC, LTD. |
| Other Organization Name | GL WEST UNION CLINIC |
| Practice Address |
110 Jefferson St West Union IA 52175-1022 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-03-07 |
| 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 |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0638817 | 05 |
| Other Name | Type Code |
|---|---|
| GL West Union Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013137660 | Gundersen Clinic, Ltd. | Clinic/Center | 1500 Peebles Dr, Richland Center, WI 53581-2940 | 2007-04-26 |
| 1588604342 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 111 E Riverfront St, Winona, MN 55987-3456 | 2006-06-08 |
| 1730129446 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 121 East Main Street, Ossian, IA 52161 | 2006-06-08 |
| 1023064078 | Gundersen Clinic, Ltd. | Clinic/Center | 118 S Marquette Rd, Prairie Du Chien, WI 53821-1640 | 2006-05-25 |
| 1164477675 | Gundersen Clinic, Ltd. | Clinic/Center | 111 S Reynolds, Postville, IA 52162 | 2006-05-23 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1417902933 | Gundersen Clinic, Ltd. | Clinic/Center | 50 North 4th Street, Lansing, IA 52151 | 2006-05-23 |
| 1114971751 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 106 E 2nd St, Winona, MN 55987-3410 | 2006-05-19 |
| 1497708044 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 505 Gopher Dr, Tomah, WI 54660-4513 | 2006-05-17 |
| 1780636480 | Gundersen Clinic, Ltd. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GUNDERSEN CLINIC, LTD. | 1836 South Avenue, La Crosse, WI 54601 |
| Street Address |
110 JEFFERSON ST |
| City | WEST UNION |
| State | IA |
| Zip Code | 52175-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031883 | Kenneth A Miller | Family Medicine | 110 Jefferson St, West Union, IA 52175-1022 | 2005-05-27 |
| 1639533763 | Palmer Lutheran Health Center, Inc | Clinic/Center | 110 Jefferson St, West Union, IA 52175-1022 | 2016-04-05 |
| 1699131474 | Carina Crookston | Family Medicine | 110 Jefferson St, West Union, IA 52175-1022 | 2016-01-08 |
| 1013380138 | Samuel D Brauer | Physician Assistant | 110 Jefferson St, West Union, IA 52175-1022 | 2015-11-11 |
| 1184900755 | Kirstin Dana Nelson-lerch | Physician Assistant | 110 Jefferson St, West Union, IA 52175-1022 | 2011-10-27 |
| 1205141835 | Andrea Kaye Dietzenbach | Physician Assistant | 110 Jefferson St, West Union, IA 52175-1022 | 2010-08-06 |
| 1043257496 | Geralyn R Zuercher | Family Medicine | 110 Jefferson St, West Union, IA 52175-1022 | 2006-06-01 |
| 1730132010 | Vicki Lynn Novak | Physician Assistant | 110 Jefferson St, West Union, IA 52175-1022 | 2006-05-18 |
| 1780689174 | Denise I Tinker | Physician Assistant | 110 Jefferson St, West Union, IA 52175-1022 | 2005-06-14 |
| 1235134594 | Darcy H Connelly | Physician Assistant | 110 Jefferson St, West Union, IA 52175-1022 | 2005-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051355 | Kyle Brandt | Physical Therapy Assistant | 112 W Jefferson Street, West Union, IA 52175 | 2017-02-07 |
| 1225188378 | Lew D. Bishop | Audiologist | 6908 Echo Valley Rd., West Union, IA 52175 | 2007-01-11 |
| 1598765398 | Palmer Lutheran Health Center, Inc. | General Acute Care Hospital | 112 Jefferson Street, West Union, IA 52175 | 2005-07-22 |
| 1578842308 | Brittany Rose O'brien | Physical Therapy Assistant | 112 Jefferson St, West Union, IA 52175 | 2011-08-10 |
| 1467666792 | Garvin Moser LLC | Assisted Living Facility | 705 S Pine St, West Union, IA 52175 | 2007-05-09 |
| 1891841441 | Palmer Lutheran Health Center, Inc | Nurse Anesthetist, Certified Registered | 112 Jefferson Street, West Union, IA 52175 | 2007-01-26 |
| 1649350893 | David C. White | Emergency Medicine | 112 Jefferson St, West Union, IA 52175 | 2006-10-16 |
| 1023042686 | Richard Yngve Jacobson Jr. | Nurse Anesthetist, Certified Registered | 112 Jefferson St, West Union, IA 52175 | 2006-07-10 |
| 1801845110 | Palmer Lutheran Health Center, Inc | Clinic/Center | 112 Jefferson Street, West Union, IA 52175 | 2006-05-06 |
| 1265481576 | Palmer Lutheran Health Center, Inc. | Medicare Defined Swing Bed Unit | 112 Jefferson Street, West Union, IA 52175 | 2006-05-06 |
| Find all providers in zip 52175 | ||||
| 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 |
|---|---|---|---|---|
| 1811598659 | Walke Dentistry Pllc - Series 1 | Clinic/Center | 511 N Bluff St, Guttenberg, IA 52052-9465 | 2020-11-06 |
| 1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1861039927 | New Horizon Mental Health & Wellness | Clinic/Center | 600 4th St Ste 202, Sioux City, IA 51101-1605 | 2019-12-06 |
| 1619512845 | Rebound Chiropractic and Sports Medicine, LLC | Clinic/Center | 1201 Sw State St., Suite 111, Ankeny, IA 50023-5002 | 2019-11-12 |
| 1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
| 1063971166 | Developmental Wellness, LLC | Clinic/Center | 5500 240th St, Ames, IA 50014-9501 | 2019-03-18 |
| 1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
| 1578054698 | Ideal Option, Pllc | Clinic/Center | 817 Tower Park Drive, Waterloo, IA 50701-9027 | 2018-05-24 |
| 1417448754 | Ideal Option, Pllc | Clinic/Center | 4125 Gordon Dr, Sioux City, IA 51106-1304 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST UNION |
| Zip Code | 52175 |
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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.