Organization · Type 2 NPI

Gundersen Lutheran Medical Center Inc

Clinic/Center · La Crosse, WI

NPI number 1790502797 Active

Practice location

914 Green Bay St, Ste 101
La Crosse, WI 54601-6255

Call (608) 782-7300 Map

Mailing address

1910 South Ave
La Crosse, WI 54601-5467

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other clinic/center providers in La Crosse

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NPI record

NPI: 1790502797
Entity type: Organization (Type 2)
Issued: Sep 23, 2024
Last updated: Aug 31, 2026
Status: Active

Other names

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Emplify Health Green Bay Building · doing business as
Gundersen Green Bay Building · other name

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1790502797

Gundersen Lutheran Medical Center Inc's National Provider Identifier is 1790502797, issued on Sep 23, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in La Crosse, WI. The record was last updated on Aug 31, 2026.