Organization
GUNDERSEN LUTHERAN MEDICAL CENTER, INC.
Active
Parent organization
GUNDERSEN LUTHERAN MEDICAL CENTER, INC.
Other names
GUNDERSEN AIR
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER, INC.
Authorized official
KARI B ADANK (CCO)
(608) 775-8025
Entity
Organization
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
6001336
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0991679
—
IA
05
—
41442400
—
WI
05
—
765347600
—
MN
Enumeration date
08/01/2006
Last updated
01/29/2020
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