Ssm Health Fond Du Lac Regional Clinic

LBN: Agnesian Healthcare Inc
Ssm Health Fond Du Lac Regional Clinic is an health care organization with primary practice located at 130 Corporate Dr , Beaver Dam WI 53916-3116. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Agnesian Healthcare Inc can be contacted via phone (920) 887-3102, or through Grinnell, Amy via phone (608) 260-3586.

Contact Information

Primary practice address
130 Corporate Dr Beaver Dam WI 53916-3116
Phone: (920) 887-3102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1215402334
LBN Legal business name Agnesian Healthcare Inc
DBA Doing business as Ssm Health Fond Du Lac Regional Clinic
Authorized official Grinnell, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2018
Last updated Jun 5th, 2024 - about last year

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.

Request for update

Popular Providers