Gl Fayette Clinic
LBN: Gundersen Clinic, Ltd.
Gl Fayette Clinic is an health care organization with primary practice located at 110 King Street , Fayette IA 52142. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center 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
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1053366518 |
|---|---|
| LBN Legal business name | Gundersen Clinic, Ltd. |
| DBA Doing business as | Gl Fayette Clinic |
| Authorized official | Adank, Kari B |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 7th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053366518 | NPPES |
| Iowa | MEDICAID | 0638189 |
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