AGNESIAN HEALTHCARE INC
NPI 1508579202
Preventive Medicine - Occupational Medicine in Fond Du Lac, WI

Active since December 28, 2022
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-5676(920) 926-8930 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Agnesian Healthcare Inc NPPES

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

AGNESIAN HEALTHCARE INC (NPI 1508579202), doing business as Ssm Health Fond Du Lac Regional Clinic, is a healthcare organization registered as an occupational medicine in Fond Du Lac, Wisconsin and active in the NPI registry since December 2022. The organization lists Amy Jo Grinnell, Vp-finance, as its authorized official.

NPPES Registry Identity

NPI1508579202
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334
Fax(920) 926-8930
Organization SubpartNo
Authorized OfficialAmy Jo GrinnellVp-finance · (608) 229-7885
Enumeration DateDecember 28, 2022
NPPES CertifiedDecember 27, 2022
NPI 1508579202 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.
430 E DIVISION ST, Fond Du Lac, WI 54935

Other Names 1

Doing Business AsSsm Health Fond Du Lac Regional Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
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 1508579202. It was assigned to this organization in the NPPES registry on December 28, 2022. 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 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-5676.

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 December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.