AGNESIAN HEALTHCARE ENTERPRISES LLC; NPI #1184699704

Contact Information

AGNESIAN HEALTHCARE ENTERPRISES LLC

239 TROWBRIDGE DR
FOND DU LAC, WI 54937-9180

Phone: 920-907-5364
Fax: 920-923-7957
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for AGNESIAN HEALTHCARE ENTERPRISES LLC

NPI # 1184699704

LBN Legal business name AGNESIAN HEALTHCARE ENTERPRISES LLC

Authorized official STEVEN LITTLE - (SVP & CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/17/2006

Last updated 04/20/2008 - About 18 years ago

Identifiers

WI	Medicaid	41739100
WI	Other	41739100	HIRSP
WI	Other	41739100	WI CHRONIC DISEASE PROGRA

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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