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Organization

GUNDERSEN LUTHERAN MEDICAL CENTER, INC

Active
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Organization

GUNDERSEN LUTHERAN MEDICAL CENTER, INC

Active
Parent organization
GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Other names
GLMC EAST BUILDING, Emplify Health East Building
Organization subpart
Yes

Provider details

NPI number
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Authorized official
DEBRA L VAN PAY (DIRECTOR, REIMBURSEMENT)
(920) 436-8628
Entity
Organization

Contact information

Practice address
724 DENTON ST, LA CROSSE, WI 54601-5447
(608) 782-7300
Mailing address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699017
—
IA
05
—
100020154
—
WI
05
—
11012900
—
WI
05
—
42194300
—
WI
05
—
765347600
—
MN
Enumeration date
12/06/2012
Last updated
08/31/2026
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