NPI 1215402334
Agnesian Healthcare INC
Practice location
- Address
- 130 Corporate Dr, Beaver Dam, WI 53916-3116
- Phone
- (920) 887-3102
- Mailing address
- 420 E Division St, Fond Du Lac, WI 54935-4560
Authorised official
- Name
- Amy Grinnell
- Title
- Vp-Finance, Cfo
- Phone
- (608) 260-3586
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1215402334
- Entity type
- Organization
- NPI issued
- 4 Oct 2018
- Record last updated
- 5 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.