# GUNDERSEN LUTHERAN MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emplify Health Pediatric Mobile Unit, GUNDERSEN PEDIATRIC MOBILE UNIT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790646719
- **Authorized official:** DEBRA L VAN PAY (DIRECTOR, REIMBURSEMENT)
- **Authorized official phone:** (920) 436-8628

## Contact information

- **Practice address:** 1910 SOUTH AVE, LA CROSSE, WI 54601-5467
- **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 |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 08/31/2026