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FOND DU LAC REGIONAL CLINIC
NPI 1114963261
Durable Medical Equipment & Medical Supplies in Mount Calvary, WI

Active since June 20, 2006
100 EVERGREEN RD, MOUNT CALVARY, WI 53057(920) 753-2311 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fond Du Lac Regional Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOND DU LAC REGIONAL CLINIC (NPI 1114963261) is a healthcare organization registered as a durable medical equipment & medical supplies in Mount Calvary, Wisconsin and active in the NPI registry since June 2006. The organization lists Steven Little, Svp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1114963261
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAGNESIAN HEALTHCARE
Location Address100 EVERGREEN RDMount Calvary, WI 53057-9726
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340
Phone(920) 753-2311
Organization SubpartNo
Authorized OfficialSteven LittleSvp & Cfo · (920) 926-5402
Enumeration DateJune 20, 2006
Last NPPES UpdateMarch 15, 2011
✔ NPI 1114963261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
100 EVERGREEN RD, Mount Calvary, WI 53057
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Other Names 1

Doing Business AsFond Du Lac Regional Clinic

Other Identifiers 1

Medicare NSC0302620013WI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MT CALVARY DENTAL LLC
Clinic/Center (Dental)
100 EVERGREEN RD
MOUNT CALVARY, WI 53057
Fond Du Lac County (920) 753-2771
JEFFREY A STRONG MD
Family Medicine
100 EVERGREEN RD
MOUNT CALVARY, WI 53057
Fond Du Lac County (920) 753-2311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnesian Healthcare's NPI number?

The NPI number for Agnesian Healthcare is 1114963261. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Fond Du Lac Regional Clinic.

Where is Agnesian Healthcare located?

Agnesian Healthcare is located at 100 Evergreen Rd, Mount Calvary, WI 53057. The listed phone number is (920) 753-2311.

What is Agnesian Healthcare's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Agnesian Healthcare was last updated on March 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.