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Contact Information

AGNESIAN HEALTHCARE, INC
430 E DIVISION ST
FOND DU LAC, WI54935-4560
 Phone: 920-926-4666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Home Infusion

251F00000X
Indicates primary specialty

NPI Profile & details for AGNESIAN HEALTHCARE, INC

NPI Number 1114992492
LBN Legal business name AGNESIAN HEALTHCARE, INC
Authorized official AMY GRINNELL - (VP-FINANCE, CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2006
Last updated 06/05/2024 - More than a year ago
Identifiers
WI Medicaid 33255500
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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