GUNDERSEN CLINIC, LTD. – NPI #1235171836
Clinic/Center

GUNDERSEN CLINIC, LTD. is an AHC clinic located in SPARTA, WI. NPPES has assigned the NPI number 1235171836 to GUNDERSEN CLINIC, LTD. on June 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GUNDERSEN CLINIC, LTD. is also known by the name BEHAVIORAL HEALTH - SPARTA. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 5 years ago on Aug 06, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GUNDERSEN CLINIC, LTD. below.

NPI Profile for
GUNDERSEN CLINIC, LTD.

NPI Number
1235171836
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GUNDERSEN CLINIC, LTD.
Other Name: BEHAVIORAL HEALTH - SPARTA
Primary location
1111 W WISCONSIN ST
SPARTA, WI 54656
Phone: (608) 782-7300 Fax:
Mailing address
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone: (608) 782-7300 Fax:
Organization Subpart
Yes - GUNDERSEN CLINIC, LTD. is subpart of another organization.
Authorized Official
KARI ADANK
CCO
Phone: (608) 775-8025
Updated
Certification Date
Aug 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.