Ssm Health St Agnes Hospital

LBN: Agnesian Healthcare, Inc
Ssm Health St Agnes Hospital is an health care organization with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Agnesian Healthcare, Inc can be contacted via phone (920) 929-2300, or through Little, Steven via phone (920) 926-5402.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 929-2300
Fax: (920) 926-8885
Website:
Map and Directions
Authorized official contact:
Name: Little, Steven
Phone: (920) 926-5402

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1578541785
LBN Legal business name Agnesian Healthcare, Inc
DBA Doing business as Ssm Health St Agnes Hospital
Authorized official Little, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 12th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578541785 NPPES
Wisconsin Other 547140 DEAN CARE
Wisconsin MEDICAID 20182100 DEAN CARE
Wisconsin Other 101159 DEAN CARE

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