AGNESIAN HEALTHCARE INC NPI 1154383446

NPI Information

  • NPI: 1154383446
  • Provider Name: AGNESIAN HEALTHCARE INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: FOND DU LAC REGIONAL CLINIC
  • CLIA Number: 52D2225051
  • Address: 900 MAIN ST
    BROWNSVILLE, WI
    ZIP 53006
  • Phone: (920) 926-8375

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NPI Details

AGNESIAN HEALTHCARE INC is a durable medical equipment medical supplies in Brownsville, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AGNESIAN HEALTHCARE INC NPI is 1154383446. The provider is registered as an organization entity type.
The provider Is Doing Business As Fond Du Lac Regional Clinic.

The provider's business location address is:

900 MAIN ST
BROWNSVILLE, WI
ZIP 53006-187
Phone: (920) 926-8375

The provider's authorized official is Katherine Vergos .
The authorized official title is President and has the following contact phone number (920) 926-4979.

The CLIA number assigned to this NPI record is 52D2225051 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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