Agnesian Health Shoppe
LBN: Agnesian Healthcare Enterprises Llc
Agnesian Health Shoppe is an health care organization with primary practice located at 307 Camelot Dr , Fond Du Lac WI 54935-8014. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Agnesian Healthcare Enterprises Llc can be contacted via phone (920) 926-5277, or through Schmitz, Bonnie R via phone (920) 926-4480.
Contact Information
Primary practice address
307 Camelot Dr
Fond Du Lac WI 54935-8014
Phone: (920) 926-5277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
| NPI number | 1912972613 |
|---|---|
| LBN Legal business name | Agnesian Healthcare Enterprises Llc |
| DBA Doing business as | Agnesian Health Shoppe |
| Authorized official | Schmitz, Bonnie R |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jun 3rd, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912972613 | NPPES |
| Wisconsin | Other | 41725900 | HIRSP |
| Wisconsin | Other | 41725900 | HIRSP |
| Wisconsin | MEDICAID | 41725900 | HIRSP |
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