Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agnesian Healthcare Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1215402334

Agnesian Healthcare Inc is a Durable Medical Equipment & Medical Supplies in Beaver Dam, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Corporate Dr
Beaver Dam, WI 53916-3116
Phone: (920) 887-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1215402334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Grinnell — Vp-Finance, Cfo · (608) 260-3586
Other names Ssm Health Fond Du Lac Regional Clinic
NPI enumeratedOctober 4, 2018
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address420 E Division St, Fond Du Lac, WI 54935-4560

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