Ssm Health At Home Home Health Fond Du Lac

LBN: Agnesian Healthcare, Inc
Ssm Health At Home Home Health Fond Du Lac is an health care organization with primary practice located at 239 Trowbridge Dr , Fond Du Lac WI 54937-9180. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Agnesian Healthcare, Inc can be contacted via phone (920) 907-5379, or through Walker, Troy via phone (608) 356-1423.

Contact Information

Primary practice address
239 Trowbridge Dr Fond Du Lac WI 54937-9180
Phone: (920) 907-5379
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Troy
Phone: (608) 356-1423

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1861467144
LBN Legal business name Agnesian Healthcare, Inc
DBA Doing business as Ssm Health At Home Home Health Fond Du Lac
Authorized official Walker, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 12th, 2022 - about 3 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 1861467144 NPPES
Wisconsin MEDICAID 41507400

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