AGNESIAN HEALTHCARE (NPI# 1013157981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013157981 |
| Entity Type | Organization |
| Organization Name | AGNESIAN HEALTHCARE |
| Other Organization Name | DOLL AND ASSOCIATES |
| Practice Address |
1567 E Sumner St Suite 201 Hartford WI 53027-2608 |
| Practice Telephone | 2626706794 |
| Practice Fax Number | 2626706795 |
| Mailing Telephone | 2626706794 |
| Mailing Fax Number | 2626706795 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | STEVEN N LITTLE (SR VP & CEO) |
| Authorized Official Telephone | 9209265402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Doll and Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760419733 | Agnesian Healthcare | Durable Medical Equipment & Medical Supplies | 14 Beaver Dam St, Waupun, WI 53963-1869 | 2006-06-27 |
| 1700817657 | Agnesian Healthcare | Clinic/Center | 200 Front St, Suite 3d, Beaver Dam, WI 53916-1667 | 2006-07-06 |
| 1861438913 | Agnesian Healthcare | Durable Medical Equipment & Medical Supplies | 480 E Division St, Fond Du Lac, WI 54935-3734 | 2006-06-20 |
| 1770529828 | Agnesian Healthcare | Durable Medical Equipment & Medical Supplies | 137 Cambria St, Randolph, WI 53956 | 2006-06-20 |
| 1114963261 | Agnesian Healthcare | Durable Medical Equipment & Medical Supplies | 100 Evergreen Rd, Mount Calvary, WI 53057-9726 | 2006-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AGNESIAN HEALTHCARE | 933 Newbury St, Ripon, WI 54971-1730 |
| Street Address |
1567 E SUMNER ST SUITE 201 |
| City | HARTFORD |
| State | WI |
| Zip Code | 53027-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| 1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
| 1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
| 1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
| 1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
| 1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
| 1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
| 1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
| 1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
| 1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
| Find all providers in zip 53027 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163725 | Faerieland LLC | Community/Behavioral Health | 470 Edgewood St Fl 2, Hartford, CT 06112-1917 | 2020-04-24 |
| 1528691524 | Smith Counseling and Consulting Services, LLC | Community/Behavioral Health | 39 Natick St, Hartford, CT 06106-4029 | 2020-02-18 |
| 1528610979 | Storybook Counseling LLC | Community/Behavioral Health | 664 Prospect Ave Fl 22nd, Hartford, CT 06105-4203 | 2019-07-15 |
| 1679031140 | Phetsamon Dilullo | Community/Behavioral Health | 25 Clermont St, Hartford, CT 06106-3904 | 2019-03-04 |
| 1821563099 | Frank Ngo | Community/Behavioral Health | 39 Allendale Rd, Hartford, CT 06106-3502 | 2018-10-03 |
| 1669919130 | Capitol Region Education Council | Community/Behavioral Health | 15 Van Dyke Ave, Crec Two Rivers High School, Hartford, CT 06106-2879 | 2017-01-23 |
| 1801348016 | Nalej of Self | Community/Behavioral Health | 19 Arlington St, Hartford, CT 06106-4004 | 2016-11-04 |
| 1093185050 | Kathleen M. Friend Lmft LLC | Community/Behavioral Health | 1 Congress St Ste 210, Hartford, CT 06114-1067 | 2015-10-03 |
| 1396159786 | Self Injury Awareness Network, Inc. | Community/Behavioral Health | 18-20 Trinity St, C/o Ct Asian Pacific American Commission, Hartford, CT 06106-1600 | 2014-06-13 |
| 1508143819 | Northend Counseling Center | Community/Behavioral Health | 261 Barbour St, Hartford, CT 06120-1705 | 2011-11-15 |
| Find all providers in HARTFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.