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Gundersen Lutheran Medical Center Inc
Substance Abuse Rehabilitation Facility in La Crosse, Wisconsin
NPI 1376593442

Gundersen Lutheran Medical Center Inc is a Substance Abuse Rehabilitation Facility based in La Crosse, WI. Gundersen Lutheran Medical Center Inc practices in La Crosse, WI. The NPI Number for Gundersen Lutheran Medical Center Inc is 1376593442 and holds a License No. (Wisconsin).

The current practice location address for Gundersen Lutheran Medical Center Inc is 1910 South Ave, La Crosse, WI and can be reached out via phone at 608-775-4370 and via fax at 608-775-7440.

Location: 1910 South Ave, La Crosse, WI, 54601-5467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376593442
Provider Name
Gundersen Lutheran Medical Center Inc
Credential
Provider Entity Type
Organization
Address
1910 South Ave, La Crosse, WI, 54601-5467
Phone Number
608-775-4370
Fax Number
608-775-7440
Provider Enumeration Date
05/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11012926 05 WI
32945900 05 WI
33072600 05 WI
419555800 05 MN
42194300 05 WI
42220300 05 WI
42228900 05 WI
169555000 05 MN
42051000 05 WI
0699017 05 IA
11012900 05 WI
100020154 05 WI
42050900 05 WI
42063400 05 WI
765347600 05 MN
42053600 05 WI
42150400 05 WI
42212400 05 WI
44003500 05 WI
institution
Provider Business Practice Location Address Details
Address
1910 South Ave
City
La Crosse
State
Wisconsin
Zip
54601
Phone Number
608-775-4370
Fax Number
608-775-7440
person
Provider Business Mailing Address Details
Address
1910 South Ave
City
La Crosse
State
Wisconsin
Zip
54601
Phone Number
608-775-4370
Fax Number
608-775-7440
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
-
Taxonomy
282N00000X
License No.
()
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
person
Provider's Taxonomy Details 4
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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