St Agnes Hospital Home Infusion

LBN: Agnesian Healthcare, Inc
St Agnes Hospital Home Infusion is an health care organization with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Agnesian Healthcare, Inc can be contacted via phone (920) 926-4666, or through Grinnell, Amy via phone (608) 260-3586.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-4666
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grinnell, Amy
Phone: (608) 260-3586

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1114992492
LBN Legal business name Agnesian Healthcare, Inc
DBA Doing business as St Agnes Hospital Home Infusion
Authorized official Grinnell, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114992492 NPPES
Wisconsin MEDICAID 33255500

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