Organization
GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Active
Parent organization
GUNDERSEN LUTHERAN MEDICAL CENTER, INC
Other names
GLMC ONALASKA ANNEX BH
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
123 16TH AVE S, ONALASKA, WI 54650-3109
(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
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0699017
—
IA
05
—
11012900
—
WI
05
—
11012926
—
WI
05
—
42194300
—
WI
05
—
42212400
—
WI
05
—
765347600
—
MN
Enumeration date
11/19/2012
Last updated
03/25/2022
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