AGNESIAN HEALTHCARE, INC; NPI #1558139956

Contact Information

AGNESIAN HEALTHCARE, INC

480 E DIVISION ST
FOND DU LAC, WI 54935-3734

Phone: 920-926-4100
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oncology	261QX0200X
Infusion Therapy	261QI0500X
Medical Oncology	207RX0202X	11	Physician/Internal Medicine
Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for AGNESIAN HEALTHCARE, INC

NPI Number	`1558139956`
LBN Legal business name	AGNESIAN HEALTHCARE, INC
Authorized official	JOSEPH MINERATH - (SYSTEM DIRECTOR - GOV REIMB)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/14/2023
Last updated	12/14/2023 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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