SSM HEALTH FOND DU LAC REGIONAL CLINIC
NPI 1689610735
Durable Medical Equipment & Medical Supplies in Fond Du Lac, WI

Q: What is Agnesian Healthcare Inc's NPI number?

The NPI number for Agnesian Healthcare Inc is 1689610735. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Ssm Health Fond Du Lac Regional Clinic.

Q: What is Agnesian Healthcare Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since June 20, 2006

145 N MAIN ST, FOND DU LAC, WI 54935(920) 926-8492 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2024, Jan 24, 2022, May 23, 2019 (3 updates tracked since 2019).

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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 1689610735) is a healthcare organization registered as a durable medical equipment & medical supplies in 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

NPI1689610735

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameAGNESIAN HEALTHCARE INC

Location Address145 N MAIN STFond Du Lac, WI 54935-3423

Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1593

Phone(920) 926-8492

Organization SubpartNo

Authorized OfficialAmy GrinnellVp-finance, Cfo · (608) 260-3586

Enumeration DateJune 20, 2006

Last NPPES UpdateJune 6, 20243 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1689610735 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.

145 N MAIN 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.

DAVID P MATTHEWS MD

Emergency Medicine