GUNDERSEN CLINIC, LTD. (NPI# 1780636480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780636480 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC, LTD. |
| Other Organization Name | GL INDEPENDENCE CLINIC |
| Practice Address |
35791 Osseo Rd Independence WI 54747-9096 |
| 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 | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43062500 | 05 |
| Other Name | Type Code |
|---|---|
| GL Independence 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 |
| 1528019106 | Gundersen Clinic, Ltd. | Clinic/Center | 505 Center St, Wonewoc, WI 53968-9002 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GUNDERSEN CLINIC, LTD. | 1836 South Avenue, La Crosse, WI 54601 |
| Street Address |
35791 OSSEO RD |
| City | INDEPENDENCE |
| State | WI |
| Zip Code | 54747-9096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285988733 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2012-11-06 |
| 1770695892 | William J. Baxa | Dentist | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-08-31 |
| 1457361941 | Baxa Dental Inc., S.c. | Dentist | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790817641 | County of Trempealeau | Custodial Care Facility | W21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1982736831 | County of Trempealeau | Custodial Care Facility | W 21011 State Road 121, Independence, WI 54747 | 2007-03-09 |
| 1184822710 | Sarah J Wruck | Dental Hygienist | 23140 Whitehall Road, Independence, WI 54747-0125 | 2007-07-05 |
| 1255660759 | Western Dairyland Eoc | Clinic/Center | 23140 Whitehall Rd, Independence, WI 54747-7702 | 2009-12-11 |
| 1356549422 | Western Dairyland Eoc, Inc. | Dental Hygienist | 23122 Whitehall Rd, Independence, WI 54747-7702 | 2007-07-10 |
| 1518127000 | Trempealeau County Health Care Center | Custodial Care Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2008-06-10 |
| 1952541013 | County of Trempealeau | Assisted Living Facility | 36125 E End Rd, Independence, WI 54747-8080 | 2009-03-03 |
| 1306899513 | County of Trempealeau | Custodial Care Facility | 23094 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-18 |
| 1548227770 | County of Trempealeau | Clinic/Center | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2006-05-01 |
| 1346794344 | Nicole Borreson | Counselor | 23062 Whitehall Rd, Independence, WI 54747-9065 | 2016-08-08 |
| Find all providers in zip 54747 | ||||
| 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 |
|---|---|---|---|---|
| 1417420456 | Greenbrook Tms Cleveland LLC | Clinic/Center | 4807 Rockside Rd Ste 300, Independence, OH 44131-6802 | 2019-01-02 |
| 1811186372 | Morack Chiropractic Center, P.C. | Clinic/Center | 4014a S Lynn Ct Dr, Independence, MO 64055-3360 | 2007-10-22 |
| 1336193986 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 2300 Swan Lake Blvd, Suite 103, Independence, IA 50644-9708 | 2006-05-19 |
| 1538535059 | Wvp Medical Group, LLC | Clinic/Center | 1430 Monmouth St, Independence, OR 97351-1127 | 2015-08-19 |
| 1932522182 | Drbryanbaker.com LLC | Clinic/Center | 13723 E 39th St S, Independence, MO 64055-3321 | 2014-01-23 |
| 1821335134 | Charles E Mcgrath Do PC | Clinic/Center | 514 S Noland Rd, Suite 130, Independence, MO 64050-3976 | 2013-01-07 |
| 1154553006 | Johnson Chiropractic Inc | Clinic/Center | 311 E Main St, Independence, KS 67301-3713 | 2009-08-11 |
| 1518152966 | Ramic Independence, LLC | Clinic/Center | 3431 S Hwy 291, Independence, MO 64057-2341 | 2007-09-10 |
| 1942413521 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 6500 Rockside Rd, Ste 100, Independence, OH 44131-2368 | 2007-05-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 54747 |
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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.