GUNDERSEN CLINIC LTD (NPI# 1558606939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558606939 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC LTD |
| Other Organization Name | GL TCM CLINIC |
| Practice Address |
18601 Lincoln St Whitehall WI 54773-8605 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2012-12-11 |
| 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 |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GL TCM CLINIC | 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 |
| 1396099065 | Gundersen Clinic Ltd | Clinic/Center | 108 S 3rd St, Arcadia, WI 54612 | 2012-11-02 |
| 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 |
| Street Address |
18601 LINCOLN ST |
| City | WHITEHALL |
| State | WI |
| Zip Code | 54773-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446841 | Douglas B Moericke | Physician Assistant | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2005-06-13 |
| 1346807294 | Caitlin Marie Luttropp | Physician Assistant | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2019-05-28 |
| 1952880338 | Kelly Jean Pronschinske | Physical Therapist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2018-08-07 |
| 1689160681 | Erika Ann Suchla | Dietitian, Registered | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2018-07-03 |
| 1013394717 | Matthew R Mueller | Nurse Anesthetist, Certified Registered | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2015-05-01 |
| 1548693963 | Kari Marie Baumel | Occupational Therapy Assistant | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2013-08-21 |
| 1972936433 | Allison Koranda | Physical Therapist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2013-08-19 |
| 1982944138 | Stacy Ann Heath | Speech-Language Pathologist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2013-02-26 |
| 1487998936 | Loren Ray Carrell | Pharmacist | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2012-11-23 |
| 1700145117 | Angel May Olson | Occupational Therapy Assistant | 18601 Lincoln St, Whitehall, WI 54773-8605 | 2012-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 1184878324 | Trempealeau County Health Dept. | Public Health or Welfare | 36245 Main St., Whitehall, WI 54773 | 2008-11-14 |
| 1548434822 | Whitehall School District | Local Education Agency (LEA) | 19121 Hobson Street, Whitehall, WI 54773 | 2008-04-17 |
| 1972724136 | Kimberley Lenning | Counselor | W20209 State Road 121, Whitehall, WI 54773 | 2007-05-02 |
| 1508033184 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1689841264 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-13 |
| 1992972905 | Trempealeau Co Health Dept | Public Health or Welfare | 36245 Main St, Whitehall, WI 54773 | 2008-05-09 |
| 1316095409 | Jeffrey J. Matthews | Dentist | 36220 Tower Dr, Whitehall, WI 54773-0005 | 2007-01-08 |
| 1386000487 | Trempealeau County Human Services | Home Delivered Meals | 36245 Main Street, Whitehall, WI 54773-0067 | 2016-01-06 |
| 1942424064 | Trempealeau County Department of Human Services | Case Management | 36245 Main St, Whitehall, WI 54773-0067 | 2007-04-12 |
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| 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 |
|---|---|---|---|---|
| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1912922717 | Lakeshore Community Hospital Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
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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.