Organization · Type 2 NPI
Agnesian Healthcare
Durable Medical Equipment & Medical Supplies · Mount Calvary, WI
NPI number
1114963261
Active
Practice location
100 Evergreen Rd
Mount Calvary, WI 53057-9726
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2 other providers at this address
About NPI 1114963261
Agnesian Healthcare's National Provider Identifier is 1114963261, issued on Jun 20, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Mount Calvary, WI. The record was last updated on Mar 15, 2011.