GUNDERSEN LUTHERAN MEDICAL CENTER, INC. (NPI# 1013943893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013943893 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN LUTHERAN MEDICAL CENTER, INC. |
| Other Organization Name | GUNDERSEN LUTHERAN HOSPICE |
| Practice Address |
1910 South Ave La Crosse WI 54601-5467 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-06-24 |
| 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 LUTHERAN MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43189900 | 05 |
| Other Name | Type Code |
|---|---|
| Gundersen Lutheran Hospice | Doing Business As Name - 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 |
| 1972675155 | Gundersen Lutheran Medical Center, Inc. | Rehabilitation Unit | 1910 South Ave, La Crosse, WI 54601-5467 | 2006-11-14 |
| 1467468173 | Gundersen Lutheran Medical Center, Inc. | Ambulance | 1900 South Ave, La Crosse, WI 54601-5467 | 2006-08-01 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275511693 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Hospice Care, Community Based | 620 11th St S, La Crosse, WI 54601-4710 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317762 | Castle Senior Living, Inc | Hospice Care, Community Based | 13050 W Cleveland Ave, New Berlin, WI 53151-4013 | 2020-08-21 |
| 1982215307 | Moments Hospice of Appleton LLC | Hospice Care, Community Based | 806 Valley Rd Ste 1, Menasha, WI 54952-1120 | 2020-08-10 |
| 1992316319 | Moments Hospice of Madison LLC | Hospice Care, Community Based | 5315 Wall St Ste 135, Madison, WI 53718-7963 | 2020-08-10 |
| 1912531997 | Moments Hospice of Milwaukee | Hospice Care, Community Based | 1139 S Sunnyslope Dr Ste 200, Mt Pleasant, WI 53406-3998 | 2020-02-27 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1871052944 | Kenya Pratt | Hospice Care, Community Based | 5510 N 33rd St, Milwaukee, WI 53209-4834 | 2019-03-18 |
| 1518432749 | Brighton Hospice Wisconsin | Hospice Care, Community Based | 300 N Executive Dr Ste 110, Brookfield, WI 53005-6016 | 2018-10-03 |
| 1184136939 | Legacy Hospice Cares LLC | Hospice Care, Community Based | 850 Elm Grove Rd Ste 21, Elm Grove, WI 53122-2527 | 2017-11-02 |
| 1720523210 | Holistic Hospice Inc | Hospice Care, Community Based | 3422 W Howard Ave, Greenfield, WI 53221-1208 | 2016-12-20 |
| 1740722586 | Bani Inc | Hospice Care, Community Based | 7434 N Lannon Rd, Lannon, Lannon, WI 53046-9746 | 2016-11-10 |
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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.