NPIMap

Agnesian Healthcare Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Mayville, WI

NPI 1477514537 · NPPES record last updated Nov 26, 2007

Key facts

NPI
1477514537
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AGNESIAN HEALTHCARE INC
Practice address
360 S Mountin Dr
Mayville, WI 53050-1498
Phone
(920) 387-2111
NPI assigned
Mar 29, 2006
Organization subpart
No

Authorized official

Name
Steven N Little
Title
SVP & Cfo
Phone
(920) 926-5402

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

National Provider Directory

Tax ID family
Fond Du Lac Regional CL (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

360 S Mountin Dr
Mayville, WI 53050-1498

Mailing address

420 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-8340

Other names

  • FOND DU LAC REGIONAL CLINIC Doing business as

Other providers in Mayville, WI

All providers in Mayville, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.