GUNDERSEN CLINIC LTD (NPI# 1306347141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306347141 |
| Entity Type | Organization |
| Organization Name | GUNDERSEN CLINIC LTD |
| Other Organization Name | GHS REHAB SERVICES DECORAH |
| Practice Address |
516 Montgomery St Decorah IA 52101-2720 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | KARI B ADANK (CCO) |
| Authorized Official Telephone | 6087827300 |
| 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 |
|---|---|
| GHS REHAB SERVICES DECORAH | 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 |
| 1497256408 | Gundersen Clinic Ltd | Clinic/Center | 316 3rd Ave E, Cresco, IA 52136-1410 | 2018-02-24 |
| Street Address |
516 MONTGOMERY ST |
| City | DECORAH |
| State | IA |
| Zip Code | 52101-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918309 | Gregory Lindsey Lane | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2005-08-09 |
| 1821418724 | Derek John Rausch | Specialist/Technologist | 516 Montgomery St, Decorah, IA 52101-2720 | 2014-04-18 |
| 1235561762 | Molly Helene Haberichter | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2013-08-07 |
| 1265720122 | Roxanne Marie Baethke | Physical Therapist | 516 Montgomery St, Team Rehab Lc, Decorah, IA 52101 | 2011-07-13 |
| 1891918173 | Lindsey Joanna Shay | Physical Therapist | 516 Montgomery St, Team Rehab Lc, Decorah, IA 52101 | 2007-04-11 |
| 1134142516 | Team Rehab, LLC | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-07-26 |
| 1891737755 | Devin J Johnson | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-12 |
| 1659310845 | Sandra K Larson | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-05 |
| 1134168313 | Steven Eugene Krieg | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-05 |
| 1841245123 | Lisa Krieg | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757911 | Andrew W Fritz | Specialist/Technologist | 700 College Drive, Regents Center, Decorah, IA 52101 | 2019-02-26 |
| 1265846935 | Amber Lynn Mccarville | Dentist | 501 Sanford, Decorah, IA 52101 | 2014-06-20 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1487721809 | Mary Christine Atkinson | Counselor | 1111 Paine Street, Decorah, IA 52101 | 2006-11-29 |
| 1578632220 | Kirsten Ann Ludwig | Counselor | 1111 Paine St, Decorah, IA 52101 | 2006-11-07 |
| 1760585350 | Dental Associates of Decorah PC | Dentist | 501 Sanford St, Decorah, IA 52101 | 2006-09-07 |
| 1780634196 | Theresa K Fullhart | Social Worker | 905 Montgomery Street, Decorah, IA 52101 | 2006-05-10 |
| 1487620688 | Mayo Clinic Hospital-rochester | Clinic/Center | 901 Montgomery Street, Decorah, IA 52101 | 2006-02-27 |
| 1205298668 | Benjamin Avi Levinson | Nurse Anesthetist, Certified Registered | 901 Montgomery St, Decorah, IA 52101 | 2016-03-24 |
| Find all providers in zip 52101 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386985364 | Euro Team Physical Therapy Clinic,pc | Clinic/Center | 2345 172nd Ave # 1, Decorah, IA 52101-7584 | 2013-03-15 |
| 1215106661 | Oneota Physical Therapy Inc. | Clinic/Center | 308 College Dr Ste 4, Decorah, IA 52101-1342 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791872 | Prime Movement LLC | Clinic/Center | 818 Buck St, Tiffin, IA 52340-9419 | 2020-08-19 |
| 1831723626 | Aero Performance and Physical Therapy, Pllc | Clinic/Center | 115 Colton Dr S, North Liberty, IA 52317-9169 | 2020-03-02 |
| 1063045540 | Integritee Health & Performance LLC | Clinic/Center | 1802 N Ankeny Blvd Ste 102, Ankeny, IA 50023-1802 | 2020-02-12 |
| 1316583107 | Mach3 Physical Therapy and Wellness | Clinic/Center | 938 East Hillcrest Ave, Suite A, Indianola, IA 50125 | 2019-11-27 |
| 1124671169 | The Wellness Chambers, Pllc | Clinic/Center | 1006 Sw 4th Ct, Grimes, IA 50111-2400 | 2019-07-18 |
| 1013402940 | Return To Sport Services | Clinic/Center | 8874 Woodmayr Cir, Norwalk, IA 50211-1842 | 2018-06-23 |
| 1821526377 | Shelby County Physical Therapy, Inc. | Clinic/Center | 2305 Chatburn Ave, Harlan, IA 51537-1855 | 2017-05-30 |
| 1700329927 | Tipt Pllc | Clinic/Center | 2400 N Dodge St, Suite B, Iowa City, IA 52245-8304 | 2016-11-19 |
| 1144614686 | Cedar Falls Lutheran Home | Clinic/Center | 7517 University Ave, Suite 7, Cedar Falls, IA 50613-5074 | 2015-03-23 |
| 1699166900 | Jeff Reding | Clinic/Center | 302 N 18th St, Indianola, IA 50125-9720 | 2015-02-09 |
| 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.