Fond Du Lac Regional Clinic

LBN: Agnesian Healthcare Inc
Fond Du Lac Regional Clinic is an health care organization with primary practice located at 703 W State St , Fox Lake WI 53933-9550. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Agnesian Healthcare Inc can be contacted via phone (920) 928-6300, or through Little, Steven N via phone (920) 926-5402.

Contact Information

Primary practice address
703 W State St Fox Lake WI 53933-9550
Phone: (920) 928-6300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Little, Steven N
Phone: (920) 926-5402

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1518928662
LBN Legal business name Agnesian Healthcare Inc
DBA Doing business as Fond Du Lac Regional Clinic
Authorized official Little, Steven N
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2006
Last updated Nov 26th, 2007 - about 18 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.

Request for update

Popular Providers