BEHAVIORAL HEALTH - SPARTA
NPI 1235171836
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sparta, WI
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About BEHAVIORAL HEALTH - SPARTA
This page provides the complete NPI Profile along with additional information for Behavioral Health - Sparta, a provider established in Sparta, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1235171836 assigned on June 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Behavioral Health - Sparta. The authorized official of this NPI record is Kari B Adank (Cco)
- NPI
- 1235171836 Verify this NPI
- Provider Legal Name
- GUNDERSEN CLINIC, LTD.
- Other Organization Name
- BEHAVIORAL HEALTH - SPARTA
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1111 W WISCONSIN ST SPARTA, WI 54656
- Location Phone
- (608) 782-7300
- Mailing Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Mailing Phone
- (608) 782-7300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-11-2006
- Last Update Date
- 08-06-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
SPARTA, WI 54656
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235171836, enumerated as an "organization" on June 11, 2006.
The provider is located at 1111 W WISCONSIN ST SPARTA, WI 54656 and the phone number is (608) 782-7300.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).