FOND DU LAC REGIONAL CLINIC
NPI 1760419733
Durable Medical Equipment & Medical Supplies in Waupun, WI

Active since June 27, 2006
14 BEAVER DAM ST, WAUPUN, WI 53963(920) 324-6800 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fond Du Lac Regional Clinic NPPES

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

FOND DU LAC REGIONAL CLINIC (NPI 1760419733) is a healthcare organization registered as a durable medical equipment & medical supplies in Waupun, Wisconsin and active in the NPI registry since June 2006. The organization lists Steven N Little, Svp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1760419733
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAGNESIAN HEALTHCARE
Location Address14 BEAVER DAM STWaupun, WI 53963-1869
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340
Organization SubpartNo
Authorized OfficialSteven N LittleSvp & Cfo · (920) 926-5402
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 19, 2012
NPI 1760419733 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.
14 BEAVER DAM ST, Waupun, WI 53963

Other Names 1

Doing Business AsFond Du Lac Regional Clinic

Other Identifiers 1

Medicare NSC0302620017WI

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
14 BEAVER DAM ST
WAUPUN, WI 53963

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's NPI number?

The NPI number for Agnesian Healthcare is 1760419733. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Fond Du Lac Regional Clinic.

Where is Agnesian Healthcare located?

Agnesian Healthcare is located at 14 Beaver Dam St, Waupun, WI 53963. The listed phone number is (920) 324-6800.

What is Agnesian Healthcare'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 was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.