AGNESIAN HEALTHCARE INC NPI 1972749992

NPI Information

  • NPI: 1972749992
  • Provider Name: AGNESIAN HEALTHCARE INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: FOND DU LAC REGIONAL CLINIC
  • Address: 912 S HICKORY ST
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 929-7490

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NPI Details

AGNESIAN HEALTHCARE INC is a durable medical equipment medical supplies in Fond Du Lac, 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 1972749992. 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:

912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935-530
Phone: (920) 929-7490

The provider's authorized official is Steven N Little .
The authorized official title is Svp & Cfo and has the following contact phone number (920) 926-5402.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 11/24/2009.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10302620026MEDICARE NSCWISCONSIN

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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