AGNESIAN HEALTHCARE INC (NPI# 1275594327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275594327 |
| Entity Type | Organization |
| Organization Name | AGNESIAN HEALTHCARE INC |
| Other Organization Name | FOND DU LAC REGIONAL CLINIC |
| Practice Address |
1175b N Margaret St Markesan WI 53946-8517 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9203982406 |
| Mailing Telephone | 9209268340 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | STEVE N LITTLE (SVP & CFO) |
| Authorized Official Telephone | 9209265402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| FOND DU LAC REGIONAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
| 1417918640 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 601 E Clark St, Brandon, WI 53919-9549 | 2006-03-29 |
| 1518928662 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 703 W State St, Fox Lake, WI 53933-9550 | 2006-03-29 |
| 1831715721 | Agnesian Healthcare Inc | Preventive Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-17 |
| 1215402334 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 250 Corporate Dr, Beaver Dam, WI 53916-3115 | 2018-10-04 |
| 1760902191 | Agnesian Healthcare Inc | Clinic/Center | 40 Camelot Dr, Fond Du Lac, WI 54935-8049 | 2017-06-27 |
| 1487990651 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 21 S Marr St, Fond Du Lac, WI 54935-4334 | 2012-12-17 |
| 1962748319 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 451 E Brooklyn St, Chilton, WI 53014-1595 | 2012-12-12 |
| 1437405925 | Agnesian Healthcare Inc | Chiropractor | 525 E Division St, Fond Du Lac, WI 54935-3747 | 2012-08-02 |
| 1972879641 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1001 W Main St, Waupun, WI 53963-1601 | 2012-03-28 |
| Street Address |
1175B N MARGARET ST |
| City | MARKESAN |
| State | WI |
| Zip Code | 53946-8517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760725428 | Lauren Walker | Pharmacist | 49 S Bridge St, Markesan, WI 53946 | 2013-04-01 |
| 1962739441 | Paula Ann Stout | Physical Therapy Assistant | 1130 N. Margaret St., Markesan Resident Home, Markesan, WI 53946 | 2009-11-04 |
| 1043332299 | Vandecastle Family Chiropractic Clinic,llc | Chiropractor | 77 W. John St., Markesan, WI 53946 | 2007-04-06 |
| 1043352081 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 1175 N Margaret St, Markesan, WI 53946 | 2007-02-13 |
| 1700926854 | Dawn Vandecastle | Chiropractor | 77 W John Street, Markesan, WI 53946 | 2007-02-07 |
| 1760441877 | Nancy Lynn Schweder | Registered Nurse | 31 Catherine Street, Markesan, WI 53946 | 2006-03-20 |
| 1316948847 | Ross Hazlewood | Family Medicine | 340 Enterprise Drive, Markesan, WI 53946 | 2005-08-09 |
| 1528395878 | Peggy Jean Post | Occupational Therapy Assistant | 1130 N. Margaret St., Markesan, WI 53946 | 2009-11-06 |
| 1275656605 | Sherri Mack | Physical Therapy Assistant | 1130 N Margaret St, Markesan Resident Home, Markesan, WI 53946 | 2007-04-09 |
| 1467668947 | Southern Green Lake County Ambulance Service | Ambulance | 877 N. Margaret Street, Markesan, WI 53946-0075 | 2007-05-14 |
| Find all providers in zip 53946 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
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| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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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.