OrganizationActive
Agnesian Healthcare Inc
NPI 1679516454 · Durable Medical Equipment & Medical Supplies · N Fond Du Lac, WI
Provider details
- NPI number
- 1679516454
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Amy Grinnell, Vp-Finance, Cfo(608) 260-3586
Specialties & taxonomies
Suppliers
Practice location
723 Park Ridge Ln
N Fond Du Lac, WI 54937-1385
Phone: (920) 926-8600
Approximate (ZIP-level) locationGet directions
Mailing address
1808 W Beltline Hwy
Madison, WI 53713-2334
Other names (DBA / former)
- Doing business as
- Ssm Health Fond Du Lac Regional Clinic
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2024-06-05
- Certified
- 2024-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.