# GUNDERSEN CLINIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GUNDERSEN CLINIC LTD
- **Other names:** GL Blair Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336190941
- **Legal business name:** GUNDERSEN CLINIC LTD
- **Authorized official:** KARI B ADANK (CCO)
- **Authorized official phone:** (608) 775-8025

## Contact information

- **Practice address:** 420 S PETERSON AVE, BLAIR, WI 54616-8861
- **Practice address phone:** (608) 782-7300
- **Mailing address:** 1836 SOUTH AVE, LA CROSSE, WI 54601-5429
- **Mailing address phone:** (608) 782-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | WI | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 03/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 43062600 | — | WI |