ST AGNES HOSPITAL HOME INFUSION
NPI 1114992492
Pharmacy - Home Infusion Therapy Pharmacy in Fond Du Lac, WI
About St Agnes Hospital Home Infusion NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST AGNES HOSPITAL HOME INFUSION (NPI 1114992492) is a healthcare organization registered as a home infusion therapy pharmacy in Fond Du Lac, Wisconsin and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Amy Grinnell, Vp-finance, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D0397726
St Agnes Hosp · Fond Du Lac, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOND DU LAC, WI 54935
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, Inc's NPI number?
The NPI number for Agnesian Healthcare, Inc is 1114992492. It was assigned to this organization in the NPPES registry on February 21, 2006. The provider is doing business as St Agnes Hospital Home Infusion.
Where is Agnesian Healthcare, Inc located?
Agnesian Healthcare, Inc is located at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-4666.
What is Agnesian Healthcare, Inc's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.
Does Agnesian Healthcare, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0397726) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Agnesian Healthcare, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield and Network Health list Agnesian Healthcare, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Agnesian Healthcare, Inc was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St Agnes Hospital Home Infusion · NPI 1114992492
Home Infusion Therapy Pharmacy organization in Fond Du Lac, Wisconsin. Organization record, active in the CMS NPPES registry since February 21, 2006.
## Identity
- **NPI:** 1114992492 (Entity type: Organization)
- **Enumerated:** February 21, 2006
- **Primary specialty:** Pharmacy - Home Infusion Therapy Pharmacy · taxonomy 3336H0001X
- **Legal business name:** Agnesian Healthcare, Inc
- **Organization subpart:** No
- **Authorized official:** Amy Grinnell, VP-FINANCE, CFO
## Practice location
- **Address:** 430 E DIVISION ST, Fond Du Lac, WI 54935-4560
- **Phone:** (920) 926-4666
## Record status
- **NPPES last updated:** June 5, 2024
- **Other identifiers:** Medicaid 33255500 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114992492) · Data from the CMS NPPES public registry.