| GL West Union Clinic | |
|
110 Jefferson St West Union IA 52175-1022 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | GL West Union Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 110 Jefferson St, West Union, Iowa |
| Authorized Official Name and Position | Kari B Adank (CCO) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| GL West Union Clinic 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | GL West Union Clinic 110 Jefferson St West Union IA 52175-1022 Ph: (608) 782-7300 |
| NPI Number | 1487606406 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487606406 | NPI | - | NPPES |
| 0638817 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QR1300X | Clinic/center - Rural Health | () | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
Gundersen Palmer Lutheran Hospital and Clinics - West Union Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 563-422-3810 |
Gundersen Palmer Lutheran Hospital and Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Jefferson Street, West Union, IA 52175 Phone: 563-422-3811 Fax: 563-422-9875 |