# GUNDERSEN LUTHERAN MEDICAL CENTER, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497090138
- **Legal business name:** GUNDERSEN LUTHERAN MEDICAL CENTER, INC
- **Authorized official:** DEBRA L VAN PAY (DIRECTOR, REIMBURSEMENT)
- **Authorized official phone:** (920) 436-8628

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 08/31/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0699017 | — | IA |
| 05 | — | 100020154 | — | WI |
| 05 | — | 11012900 | — | WI |
| 05 | — | 42194300 | — | WI |
| 05 | — | 765347600 | — | MN |