Gl Podiatry - Decorah

LBN: Gundersen Clinic, Ltd.
Gl Podiatry - Decorah is an health care organization with primary practice located at 1830 State Highway 9 , Decorah IA 52101-7301. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Podiatric, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Podiatric is the primary health care specialty. Gundersen Clinic, Ltd. can be contacted via phone (608) 782-7300, or through Adank, Kari B via phone (608) 775-8025.

Contact Information

Primary practice address
1830 State Highway 9 Decorah IA 52101-7301
Phone: (608) 782-7300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adank, Kari B
Phone: (608) 775-8025

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1568401271
LBN Legal business name Gundersen Clinic, Ltd.
DBA Doing business as Gl Podiatry - Decorah
Authorized official Adank, Kari B
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2006
Last updated Aug 6th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568401271 NPPES
Iowa Other 0233450036 DMERC SUPPLIER

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