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SSM HEALTH FOND DU LAC REGIONAL CLINIC
NPI 1437110988
Durable Medical Equipment & Medical Supplies in Fond Du Lac, WI

Active since March 31, 2006
420 E DIVISION ST, 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 16, 2026.

Record update history: Jun 5, 2024, Jan 24, 2022, May 23, 2019 (3 updates tracked since 2019).

About Ssm Health Fond Du Lac Regional Clinic NPPES

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

SSM HEALTH FOND DU LAC REGIONAL CLINIC (NPI 1437110988) is a healthcare organization registered as a durable medical equipment & medical supplies in Fond Du Lac, Wisconsin and active in the NPI registry since March 2006. The organization lists Amy Grinnell, Vp-finance, Cfo, as its authorized official.

NPPES Registry Identity

NPI1437110988
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address420 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1593
Phone(920) 923-7400
Organization SubpartNo
Authorized OfficialAmy GrinnellVp-finance, Cfo · (608) 260-3586
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1437110988 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.
420 E DIVISION ST, Fond Du Lac, WI 54935
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Other Names 1

Doing Business AsSsm Health Fond Du Lac Regional Clinic

Other Providers at the Same Location NPPES 20

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

MARY R KELM NP
Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8230
SARA J RIEGERT MD
Obstetrics & Gynecology
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8450
CHRISTOPHER C TUVESON MD
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8495
DR. DOMENICK TIRABASSI IV PSYD
Psychologist
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8492
MICHELLE KEHRMEYER N.P.
Nurse Practitioner (Psychiatric/Mental Health)
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (209) 926-4197
KIERSTYN LEE LOMPREY FNP-BC
Nurse Practitioner
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
MRS. JENNIFER NICOLE STEPHANY APNP
Nurse Practitioner (Family)
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8200
SEAN P HEDICAN MD
Urology
420 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (209) 268-4959

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 1437110988. It was assigned to this organization in the NPPES registry on March 31, 2006. The provider is doing business as Ssm Health Fond Du Lac Regional Clinic.

Where is Agnesian Healthcare Inc located?

Agnesian Healthcare Inc is located at 420 E Division St, 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 Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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.