FOND DU LAC REGIONAL CLINC
NPI 1154947737
Preventive Medicine - Occupational Medicine in Fond Du Lac, WI

Active since June 19, 2020
250 CAMELOT DR, FOND DU LAC, WI 54935(920) 923-7400 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Jun 19, 2020 (2 updates tracked since 2020).

About Fond Du Lac Regional Clinc NPPES

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

FOND DU LAC REGIONAL CLINC (NPI 1154947737) is a healthcare organization registered as an occupational medicine in Fond Du Lac, Wisconsin and active in the NPI registry since June 2020. The organization lists Amy Grinnell, Vp-finance, Cfo, as its authorized official.

NPPES Registry Identity

NPI1154947737
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address250 CAMELOT DRFond Du Lac, WI 54935-8029
Mailing Address250 Camelot DrFond Du Lac, WI 54935-8029
Organization SubpartNo
Authorized OfficialAmy GrinnellVp-finance, Cfo · (608) 260-3586
Enumeration DateJune 19, 2020
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1154947737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
250 CAMELOT DR, Fond Du Lac, WI 54935

Other Names 1

Doing Business AsFond Du Lac Regional Clinc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1154947737. It was assigned to this organization in the NPPES registry on June 19, 2020. The provider is doing business as Fond Du Lac Regional Clinc.

Where is Agnesian Healthcare Inc located?

Agnesian Healthcare Inc is located at 250 Camelot Dr, Fond Du Lac, WI 54935. The listed phone number is (920) 923-7400.

What is Agnesian Healthcare Inc's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

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.