Gundersen Clinic, Ltd.
Gundersen Clinic, Ltd. is a health care provider in La Crosse, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 110 King Street, Fayette, IA 52142, US |
|Practice Location Phone||608-782-7300|
|Practice Location Fax|
|Legal Business Name||GUNDERSEN CLINIC, LTD.|
|Other Organization Name||GL FAYETTE CLINIC|
|Other Organization Name Type||An Other Name|
|Enumeration Date ? ||May 23, 2006|
|Last Update Date ? ||Mar 7, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Gundersen Clinic, Ltd.
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities|| |
|Clinic/Center||Ambulatory Health Care Facilities||Rural Health |
|Durable Medical Equipment & Medical Supplies||Suppliers|| |
Legacy Provider IDs of Gundersen Clinic, Ltd.
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Gundersen Clinic, Ltd.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Gundersen Clinic, Ltd.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Kari B Adank|
|Authorized Official Title/Position||CCO|
|Authorized Official Phone Number||608-775-8025|