Agnesian Healthcare Inc in Fond Du Lac - Mental Health (including Community Mental Health Center)
Agnesian Healthcare Inc - NPI 1841320884
Agnesian Healthcare Inc is a Mental Health (including Community Mental Health Center) in Fond Du Lac, Wisconsin. Agnesian Healthcare Inc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Agnesian Healthcare Inc is 1841320884. The last update date is 2011-02-08.
Agnesian Healthcare Inc's current location address is 40 Camelot Dr, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209078201 and fax number 9209078209. The mailing address for Agnesian Healthcare Inc is 40 Camelot Dr, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Agnesian Healthcare Inc |
|---|---|
| Address | 40 Camelot Dr, Fond Du Lac, Wisconsin |
| Phone Number | 9209078201 |
| Fax Number | 9209078209 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VP & CE |
|---|---|
| Authorized Official Name | Little N Steven |
| Telephone Number | 9209265402 |
NPI Number Detail
| NPI Number | 1841320884 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2011-02-08 |
Provider Mailing Address Detail
| Address | 40 Camelot Dr |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549358049 |
| Phone Number | 9209078201 |
| Fax Number | 9209078209 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
| Licence No | 2226 |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 391995430017 | WI | BCBS GROUP NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Agnesian Healthcare Inc?
The Agnesian Healthcare Inc has been issued the NPI (National Provider Identifier) 1841320884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Agnesian Healthcare Inc's facilities are geographically located?
The facilities of Agnesian Healthcare Inc are physically situated at the following location: 40 Camelot Dr, Fond Du Lac, WI, 549358049.
What is the Agnesian Healthcare Inc's area of specialization and corresponding taxonomy classification?
The Agnesian Healthcare Inc's specialty field is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1841320884 to Agnesian Healthcare Inc?
The Centers for Medicare & Medicaid Services assigned the 1841320884 to Agnesian Healthcare Inc on 2007-03-07.
As of what date were the Agnesian Healthcare Inc's details last updated?
The information pertaining to the Agnesian Healthcare Inc, including its address, specialty, and other details, was most recently updated on 2011-02-08.
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