Organization · Type 2 NPI

Gundersen Lutheran Medical Center Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Viroqua, WI

NPI number 1003159195 Active

Practice location

407 S Main St Ste 300
Viroqua, WI 54665-4001

Call (608) 782-7300 Map

Mailing address

1910 South Ave
La Crosse, WI 54601-5467

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1003159195
Entity type: Organization (Type 2)
Issued: Mar 27, 2013
Last updated: Aug 31, 2026
Status: Active
Subpart: Yes of Gundersen Lutheran Medical Center Inc

Other names

<unavail>
Emplify Health Viroqua Renal Dialysis · doing business as
GLMC Viroqua Renal Dialysis · other name

Authorized official

Debra L Van Pay
Director, Reimbursement
(920) 436-8628

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About NPI 1003159195

Gundersen Lutheran Medical Center Inc's National Provider Identifier is 1003159195, issued on Mar 27, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Viroqua, WI. The record was last updated on Aug 31, 2026.