OrganizationActive
Agnesian Healthcare
NPI 1114963261 · Durable Medical Equipment & Medical Supplies · Mount Calvary, WI
Provider details
- NPI number
- 1114963261
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Steven Little, Svp & Cfo(920) 926-5402
Specialties & taxonomies
Suppliers
Practice location
100 Evergreen Rd
Mount Calvary, WI 53057-9726
Phone: (920) 753-2311
Approximate (ZIP-level) locationGet directions
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Other names (DBA / former)
- Doing business as
- Fond Du Lac Regional Clinic
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2011-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.