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Organization
GUNDERSEN LUTHERAN MEDICAL CENTER INC
Active
Organization
GUNDERSEN LUTHERAN MEDICAL CENTER INC
Active
Other names
Emplify Health La Crosse Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L VAN PAY (DIRECTOR, REIMBURSEMENT)
(920) 436-8628
Entity
Organization
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601
(608) 775-4370
(608) 775-7440
Mailing address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699017
—
IA
05
—
100020154
—
WI
05
—
11012900
—
WI
05
—
11012926
—
WI
05
—
169555000
—
MN
05
—
32945900
—
WI
05
—
33072600
—
WI
05
—
419555800
—
MN
05
—
42050900
—
WI
05
—
42051000
—
WI
05
—
42053600
—
WI
05
—
42063400
—
WI
05
—
42150400
—
WI
05
—
42194300
—
WI
05
—
42212400
—
WI
05
—
42220300
—
WI
05
—
42228900
—
WI
05
—
44003500
—
WI
05
—
765347600
—
MN
Enumeration date
05/11/2006
Last updated
08/31/2026
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