FOND DU LAC REGIONAL CLINIC
NPI 1972749992
Durable Medical Equipment & Medical Supplies in Fond Du Lac, WI

Active since December 22, 2008
912 S HICKORY ST, FOND DU LAC, WI 54935(920) 929-7490 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 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 1972749992) is a healthcare organization registered as a durable medical equipment & medical supplies in Fond Du Lac, Wisconsin and active in the NPI registry since December 2008. The organization lists Steven N Little, Svp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1972749992
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address912 S HICKORY STFond Du Lac, WI 54935-5530
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340
Organization SubpartNo
Authorized OfficialSteven N LittleSvp & Cfo · (920) 926-5402
Enumeration DateDecember 22, 2008
Last NPPES UpdateNovember 24, 2009
NPI 1972749992 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.

912 S HICKORY ST, Fond Du Lac, WI 54935

Other Names 1

Doing Business AsFond Du Lac Regional Clinic

Other Identifiers 1

Medicare NSC0302620026WI

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Agnesian Pharmacy West carries, from the Medicare DMEPOS supplier directory.

Agnesian Pharmacy West

DMEPOS supplier · Fond Du Lac, WIOperated by Agnesian Healthcare Enterprises LLC

Does not accept Medicare assignment

Agnesian Pharmacy West has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20606045
Medicare Participant SinceMarch 15, 2002
Supplier Location912 S Hickory StFond Du Lac, WI 54935
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Clinical Medical Laboratory
912 S HICKORY ST
FOND DU LAC, WI 54935
Family Medicine
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Pharmacy (Community/Retail Pharmacy)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Clinic/Center (Multi-Specialty)
912 S HICKORY 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 1972749992. It was assigned to this organization in the NPPES registry on December 22, 2008. The provider is doing business as Fond Du Lac Regional Clinic.

Where is Agnesian Healthcare Inc located?

Agnesian Healthcare Inc is located at 912 S Hickory St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-7490.

What is Agnesian Healthcare Inc's specialty?

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

Does Agnesian Healthcare Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Agnesian Pharmacy West does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Agnesian Healthcare Inc was last updated on November 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.