GUNDERSEN CLINIC LTD (NPI# 1649644360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649644360 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC LTD |
| Other Organization Name | GUNDERSEN ORTHOPAEDIC CLINIC CALEDONIA |
| Practice Address |
405 S Highway 44 76 Caledonia MN 55921-1861 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-02-09 |
| 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 | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| GUNDERSEN ORTHOPAEDIC CLINIC CALEDONIA | 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 |
405 S HIGHWAY 44 76 |
| City | CALEDONIA |
| State | MN |
| Zip Code | 55921-1861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427465459 | Lifestyle Medical Group | Clinic/Center | 405 S Highway 44 76, Caledonia, MN 55921-1861 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941686 | Gloria Evelan Schroeder | Technician | 117 N 1st Street, Caledonia, MN 55921 | 2019-09-13 |
| 1417465931 | Claddagh Senior Living, LLC. | Assisted Living Facility | 508 Kruckow Ave. N., Caledonia, MN 55921 | 2018-01-18 |
| 1760501191 | Milton Joseph Schoeberl | Chiropractor | 114 N Sunset Blvd, Caledonia, MN 55921 | 2007-03-28 |
| 1184780033 | George Francis Frisch | Dentist | 123 W Lincoln St, Caledonia, MN 55921 | 2006-12-28 |
| 1619041027 | Bernard James Krenzke | Chiropractor | 102 E Grove St, Caledonia, MN 55921 | 2006-11-17 |
| 1619051653 | Family Dental Center of Caledonia LLC | Dentist | 120 W Main, Caledonia, MN 55921 | 2006-10-25 |
| 1336174267 | James John Fink | Chiropractor | 103 N. Ramsey, Suite 3, Caledonia, MN 55921 | 2006-07-11 |
| 1104800705 | Herman Dental Clinic Pa | Dentist | 620 N Highway 44/76, Caledonia, MN 55921 | 2005-12-06 |
| 1265439715 | Houston County Auditor | Home Health | 611 Vista Drive, Suite 1, Caledonia, MN 55921 | 2005-06-30 |
| 1194210997 | 425 N Badger Street Caledonia Opco LLC | Skilled Nursing Facility | 425 N Badger St, Caledonia, MN 55921 | 2018-06-25 |
| Find all providers in zip 55921 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427465459 | Lifestyle Medical Group | Clinic/Center | 405 S Highway 44 76, Caledonia, MN 55921-1861 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716669 | C.o.m.p.e.t.e Physical Therapy & Wellness LLC | Clinic/Center | 1517 Johnson Dr, Moorhead, MN 56560-7441 | 2020-09-27 |
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1700419207 | Emily L Parnell | Clinic/Center | 983 James Ave, Saint Paul, MN 55102-3330 | 2020-02-13 |
| 1447898358 | Joy Physical Therapy Inc. | Clinic/Center | 1648 River Bluff Ct, Eagan, MN 55121-1719 | 2019-12-11 |
| 1578125159 | Evolve Rehab & Performance LLC | Clinic/Center | 4346 Wooddale Ave, St Louis Park, MN 55424-1061 | 2019-07-03 |
| 1093375198 | Taylor Doeden | Clinic/Center | 1929 33rd St S, Moorhead, MN 56560-3951 | 2019-06-19 |
| 1083176101 | Transcend Rehab & Wellness LLC | Clinic/Center | 1227 17th St Sw, Willmar, MN 56201-2843 | 2019-04-05 |
| 1891250635 | Physiyo, LLC | Clinic/Center | 8646 Eagle Creek Cir Suite 109, Savage, MN 55378-1572 | 2019-02-06 |
| 1922562883 | Kinecio | Clinic/Center | 7650 Currell Blvd Ste 325, Woodbury, MN 55125-2257 | 2019-01-24 |
| 1366916363 | She Pt LLC | Clinic/Center | 5410 Abbott Pl, Edina, MN 55410-2320 | 2019-01-14 |
| 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.