| Gundersen Clinic, Ltd. | |
|
120 2nd Avenue Se Waukon IA 52172 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Gundersen Clinic, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 2nd Avenue Se, Waukon, Iowa |
| Authorized Official Name and Position | Kari B Adank (CCO) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Clinic, Ltd. 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gundersen Clinic, Ltd. 120 2nd Avenue Se Waukon IA 52172 Ph: (608) 782-7300 |
| NPI Number | 1831144302 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 08/06/2021 |
| Medicare PECOS PAC ID | 9638082779 |
|---|---|
| Medicare Enrollment ID | O20100930000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831144302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Veterans Memorial Hospital City Of Waukon Ia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Main St, Waukon, IA 52172 Phone: 563-568-3411 Fax: 563-568-5699 |