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SSM HEALTH FOND DU LAC REGIONAL CLINIC
NPI 1679516454
Durable Medical Equipment & Medical Supplies in N Fond Du Lac, WI

Active since June 13, 2006
723 PARK RIDGE LN, N FOND DU LAC, WI 54937(920) 926-8600 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, Jan 24, 2022, May 23, 2019 and 1 more (4 updates tracked since 2018).

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 1679516454) is a healthcare organization registered as a durable medical equipment & medical supplies in N Fond Du Lac, Wisconsin and active in the NPI registry since June 2006. The organization lists Amy Grinnell, Vp-finance, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679516454
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address723 PARK RIDGE LNN Fond Du Lac, WI 54937-1385
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1593
Phone(920) 926-8600
Organization SubpartNo
Authorized OfficialAmy GrinnellVp-finance, Cfo · (608) 260-3586
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 5, 20244 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1679516454 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.

723 PARK RIDGE LN, N Fond Du Lac, WI 54937
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Other Names 1

Doing Business AsSsm Health Fond Du Lac Regional Clinic

Other Providers at the Same Location NPPES 12

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

DR. TEELA KOSKI PHARM.D.
Pharmacist
723 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8660
DOUGLAS R FOWNES MD
Family Medicine
723 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8600
DR. DWAYNE CHARLES CLARK MD
Family Medicine
723 PARK RIDGE LN
N FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8600
ELIZABETH DOWNING STRITTMATTER DO
Family Medicine
723 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8600
RUSSELL J FREDRICKSON MD
Family Medicine
723 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8600
DENISE R GATIEN BRUX NP
Nurse Practitioner (Family)
723 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8600
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Clinical Medical Laboratory
723 PARK RIDGE LN
NORTH FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8610
DR. KUMI D SWART D.O.
Family Medicine
723 PARK RIDGE LN
N FOND DU LAC, WI 54937
Fond Du Lac County (920) 926-8600

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 1679516454. It was assigned to this organization in the NPPES registry on June 13, 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 723 Park Ridge Ln, N Fond Du Lac, WI 54937. The listed phone number is (920) 926-8600.

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 with the weekly NPPES data releases published by CMS.