GUNDERSEN LUTHERAN MEDICAL CENTER, INC. (NPI# 1972675155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972675155 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN LUTHERAN MEDICAL CENTER, INC. |
| Other Organization Name | GL REHAB |
| Practice Address |
1910 South Ave La Crosse WI 54601-5467 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-10-21 |
| 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 | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0699017 | 05 | |
| MN | 765347600 | 05 | |
| WI | 11012900 | 05 |
| Other Name | Type Code |
|---|---|
| GL Rehab | Other Name - Individual/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 |
| 1467468173 | Gundersen Lutheran Medical Center, Inc. | Ambulance | 1900 South Ave, La Crosse, WI 54601-5467 | 2006-08-01 |
| 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 |
1910 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780302 | Aaron J Hanesworth | Emergency Medicine | 1910 South Ave, La Crosse, WI 54601-5467 | 2005-06-20 |
| 1154732063 | Craig Daniel Destree | Internal Medicine | 1910 South Ave, La Crosse, WI 54601-5467 | 2014-05-13 |
| 1639519325 | Samantha D Hudrlik | Surgery | 1910 South Ave, La Crosse, WI 54601-5467 | 2013-06-27 |
| 1730435710 | Christine Rae Fishel | Advanced Practice Midwife | 1910 South Ave, La Crosse, WI 54601 | 2012-07-27 |
| 1114230075 | Teresa M Schlintz | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2010-07-21 |
| 1194037275 | Jacquelyn Muriel Brook Hammen | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2010-07-06 |
| 1023346657 | Casey John Bablitch | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2009-11-19 |
| 1477790640 | Jennifer J Loos | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2009-01-09 |
| 1114172608 | Carrie Jo Baumgartner | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2008-11-25 |
| 1154582062 | Joseph Bodnar | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2008-06-23 |
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| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700281045 | Gundersen Lutheran Medical Center Inc | Rehabilitation Unit | 1843 Sims Pl, La Crosse, WI 54601-6276 | 2014-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014322 | Little Strokes Swim Academy LLC | Rehabilitation Unit | 1029 Quinn Dr, Waunakee, WI 53597-2502 | 2019-07-11 |
| 1710180138 | Tomah Va Medical Center | Rehabilitation Unit | 10222 Emerson Rd, 500e Veterans St, Tomah, WI 54660-4235 | 2007-06-06 |
| 1154468205 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 619 Bridge St, Prentice, WI 54556-1131 | 2007-01-30 |
| 1104922814 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 103 South Gibson St, Medford, WI 54451-1622 | 2006-09-16 |
| 1962407874 | St Joseph's Hospital of Marshfield, Inc | Rehabilitation Unit | St.joseph's Ave, Marshfield, WI 54449 | 2005-06-16 |
| 1588104475 | Mchs Hospitals, Inc. | Rehabilitation Unit | 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 | 2017-02-27 |
| 1801294905 | Rennes Health and Rehab Center | Rehabilitation Unit | 1970 Navajo St, Rhinelander, WI 54501-8890 | 2014-12-05 |
| 1124463815 | Aurora Medical Center Grafton | Rehabilitation Unit | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2013-05-08 |
| 1871815282 | Aurora Health Care Southern Lakes, Inc. | Rehabilitation Unit | 36500 Aurora Dr, Summit, WI 53066-4899 | 2010-02-26 |
| 1497997688 | St Francis Hospital | Rehabilitation Unit | 2025 W Oklahoma Ave, Milwaukee, WI 53215-4455 | 2009-04-02 |
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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.