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SSM HEALTH FOND DU LAC REGIONAL CLINIC
NPI 1922069194
Durable Medical Equipment & Medical Supplies in Campbellsport, WI

Active since March 29, 2006
350 E SHEBOYGAN ST, CAMPBELLSPORT, WI 53010(920) 533-8361 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2024, Jan 24, 2022, May 8, 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 1922069194) is a healthcare organization registered as a durable medical equipment & medical supplies in Campbellsport, 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

NPI1922069194
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address350 E SHEBOYGAN STCampbellsport, WI 53010-2795
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1593
Phone(920) 533-8361
Organization SubpartNo
Authorized OfficialAmy GrinnellVp-finance, Cfo · (608) 260-3586
Enumeration DateMarch 29, 2006
Last NPPES UpdateJune 6, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1922069194 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.
350 E SHEBOYGAN ST, Campbellsport, WI 53010
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Other Names 1

Doing Business AsSsm Health Fond Du Lac Regional Clinic

Other Providers at the Same Location NPPES 4

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

PATRICIA A HAYES PA
Physician Assistant
350 E SHEBOYGAN ST
CAMPBELLSPORT, WI 53010
Fond Du Lac County (920) 533-8361
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Clinical Medical Laboratory
350 E SHEBOYGAN ST
CAMPBELLSPORT, WI 53010
Fond Du Lac County (920) 533-8361
AMIE JO STEGER APNP
Nurse Practitioner (Family)
350 E SHEBOYGAN ST
CAMPBELLSPORT, WI 53010
Fond Du Lac County (920) 533-8361
MISS JENNIFER B RICKERT APNP
Nurse Practitioner (Family)
350 E SHEBOYGAN ST
CAMPBELLSPORT, WI 53010
Fond Du Lac County (920) 533-8361

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 1922069194. It was assigned to this organization in the NPPES registry on March 29, 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 350 E Sheboygan St, Campbellsport, WI 53010. The listed phone number is (920) 533-8361.

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 6, 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.