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FOND DU LAC REGIONAL CLINIC
NPI 1972879641
Durable Medical Equipment & Medical Supplies in Waupun, WI

Active since March 28, 2012
1001 W MAIN ST, WAUPUN, WI 53963(920) 324-9301 Get Directions Write a Review

NPPES record last updated: July 5, 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 1972879641) is a healthcare organization registered as a durable medical equipment & medical supplies in Waupun, Wisconsin and active in the NPI registry since March 2012. The organization lists Steven N Little, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1972879641
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address1001 W MAIN STWaupun, WI 53963-1601
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340
Phone(920) 324-9301
Organization SubpartNo
Authorized OfficialSteven N LittlePresident & Ceo · (920) 926-5402
Enumeration DateMarch 28, 2012
Last NPPES UpdateJuly 5, 2012
✔ NPI 1972879641 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.
1001 W MAIN ST, Waupun, WI 53963
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Other Names 1

Doing Business AsFond Du Lac Regional Clinic

Other Identifiers 1

Medicare NSC0302620029WI

Other Providers at the Same Location NPPES 3

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

DR. RYAN THOMAS MACKEY DPM
Podiatrist
1001 W MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 361-3063
RIPON MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
1001 W MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-9301
GLENN F DEVRIES
Podiatrist (Foot & Ankle Surgery)
1001 W MAIN ST
WAUPUN, WI 53963
Fond Du Lac County (920) 324-9301

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 1972879641. It was assigned to this organization in the NPPES registry on March 28, 2012. The provider is doing business as Fond Du Lac Regional Clinic.

Where is Agnesian Healthcare Inc located?

Agnesian Healthcare Inc is located at 1001 W Main St, Waupun, WI 53963. The listed phone number is (920) 324-9301.

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 July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.