AGNESIAN HEALTHCARE INC (NPI# 1922069194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922069194 |
| Entity Type | Organization |
| Organization Name | AGNESIAN HEALTHCARE INC |
| Other Organization Name | FOND DU LAC REGIONAL CLINIC |
| Practice Address |
350 E Sheboygan St Campbellsport WI 53010-2795 |
| Mailing Address |
420 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9205338361 |
| Mailing Telephone | 9209268340 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | KATHERINE VERGOS (PRESIDENT) |
| Authorized Official Telephone | 9209264979 |
| 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 |
| 1275594327 | Agnesian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1175b N Margaret St, Markesan, WI 53946-8517 | 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 |
| Street Address |
350 E SHEBOYGAN ST |
| City | CAMPBELLSPORT |
| State | WI |
| Zip Code | 53010-2795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104809839 | Patricia A Hayes | Physician Assistant | 350 E Sheboygan St, Campbellsport, WI 53010-2795 | 2005-11-28 |
| 1275675217 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 350 E Sheboygan St, Campbellsport, WI 53010 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763904 | Amanda Marie Murphy | Licensed Practical Nurse | W3617 Saint Kilian Drive, Campbellsport, WI 53010 | 2012-06-06 |
| 1144513110 | Trisha Jo Pieper | Registered Nurse | W2789 Cty Rd F, Campbellsport, WI 53010 | 2011-05-24 |
| 1154557817 | Schlaefer Optometrists | Clinic/Center | 128 W Main St., Campbellsport, WI 53010 | 2009-06-08 |
| 1639237019 | Aurora Pharmacy, Inc. | Pharmacy | 470 Grand View Avenue, Suite 1, Campbellsport, WI 53010 | 2006-12-05 |
| 1265546600 | Village of Campbellsport | Ambulance | 548 E Main St, Campbellsport, WI 53010 | 2006-08-19 |
| 1083627491 | Jeanne Marie Russart | Licensed Practical Nurse | N1495 Willow Lane, Jeanne Russart, Campbellsport, WI 53010 | 2006-08-15 |
| 1881784932 | Dean William Uelmen | Dentist | 206 N Helena St., Campbellsport, WI 53010-0609 | 2006-10-12 |
| 1972649952 | Ronald Moos | Dentist | 130 N Fond Du Lac Ave, Campbellsport, WI 53010-0739 | 2007-01-29 |
| 1114327822 | Kathleen Diane Depies | Registered Nurse | N4539 Mulletview Rd, Campbellsport, WI 53010-1442 | 2014-08-29 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| Find all providers in zip 53010 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983070 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 507 Jefferson St E # 34, West Salem, WI 54669-9560 | 2020-08-18 |
| 1356959506 | A Journey Home Medsupply | Durable Medical Equipment & Medical Supplies | 9575 W Fond Du Lac Ave Apt 19, Milwaukee, WI 53225-1645 | 2020-07-14 |
| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 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 | ||||
| City | CAMPBELLSPORT |
| Zip Code | 53010 |
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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.