GUNDERSEN TRI COUNTY HOSPITAL AND CLINICS
NPI 1396438388
Ambulance - Land Transport in Whitehall, WI

Q: What is Tri-County Memorial Hospital Inc's NPI number?

The NPI number for Tri-County Memorial Hospital Inc is 1396438388. It was assigned to this organization in the NPPES registry on May 26, 2023. The provider is doing business as Gundersen Tri County Hospital And Clinics. The provider is also known as Gundersen Tri-County Ambulance.

Q: What is Tri-County Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since May 26, 2023CLIA 52D0396911 · Waiver

18601 LINCOLN STREET, WHITEHALL, WI 54773(715) 538-4361(715) 538-2271 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, May 26, 2023 (2 updates tracked since 2023).

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About Gundersen Tri County Hospital And Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUNDERSEN TRI COUNTY HOSPITAL AND CLINICS (NPI 1396438388) is a healthcare organization registered as a land transport in Whitehall, Wisconsin and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Joni Olson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396438388

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameTRI-COUNTY MEMORIAL HOSPITAL INC

Location Address18601 LINCOLN STREETWhitehall, WI 54773-8605

Mailing Address18601 Lincoln StreetWhitehall, WI 54773-8605 · (715) 538-4361 · Fax (715) 538-2271

Phone(715) 538-4361

Fax(715) 538-2271

Organization SubpartNo

Authorized OfficialJoni OlsonAdministrator · (715) 538-4361

Enumeration DateMay 26, 2023

Last NPPES UpdateJune 20, 20232 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1396438388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

18601 LINCOLN STREET, Whitehall, WI 54773

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Other Names 2

Doing Business AsGundersen Tri County Hospital And Clinics

Other NameGundersen Tri-county Ambulance

Other Identifiers 1

Medicaid11016000WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0396911

Gundersen Tri-County Hospital & Clinics Whitehall Clinic · Whitehall, WI

Active · expires Mar 31, 2027

CLIA Number52D0396911

Laboratory TypeRural Health Clinic

Certificate Effective DateApril 1, 2025

Certificate Expiration DateMarch 31, 2027

Laboratory DirectorMs. Darcy J. Goplin

Laboratory Phone(715) 538-2678

Laboratory LocationGundersen Tri-County Hospital & Clinics Whitehall Clinic18601 Lincoln Street, Whitehall, WI 54773

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

6,676 services162 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

133 services87 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

77 services63 patients

Specialty care transport (sct) A0434

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

22 services21 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

19 services19 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

15 services15 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY ROSE YARD PA-C

Physician Assistant (Medical)

18601 LINCOLN STREET
WHITEHALL, WI 54773

Trempealeau County (715) 538-4361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-County Memorial Hospital Inc's NPI number?

The NPI number for Tri-County Memorial Hospital Inc is 1396438388. It was assigned to this organization in the NPPES registry on May 26, 2023. The provider is doing business as Gundersen Tri County Hospital And Clinics. The provider is also known as Gundersen Tri-County Ambulance.

Where is Tri-County Memorial Hospital Inc located?

Tri-County Memorial Hospital Inc is located at 18601 Lincoln Street, Whitehall, WI 54773. The listed phone number is (715) 538-4361.

What is Tri-County Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Tri-County Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0396911) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri-County Memorial Hospital Inc was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.