institution
Agnesian Healthcare Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Fond Du Lac, Wisconsin
NPI 1841320884

Agnesian Healthcare Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Fond Du Lac, WI and is specialized in Mental Health (Including Community Mental Health Center). Agnesian Healthcare Inc practices in Fond Du Lac, WI. The NPI Number for Agnesian Healthcare Inc is 1841320884 and holds a License No. 2226 (Wisconsin).

The current practice location address for Agnesian Healthcare Inc is 40 Camelot Dr, Fond Du Lac, WI and can be reached out via phone at 920-907-8201 and via fax at 920-907-8209.

Location: 40 Camelot Dr, Fond Du Lac, WI, 54935-8049
institution
Provider Profile Details
NPI Number
1841320884
Provider Name
Agnesian Healthcare Inc
Credential
Provider Entity Type
Organization
Address
40 Camelot Dr, Fond Du Lac, WI, 54935-8049
Phone Number
920-907-8201
Fax Number
920-907-8209
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
391995430017 01 WI BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
40 Camelot Dr
City
State
Zip
54935-8049
Phone Number
920-907-8201
Fax Number
920-907-8209
person
Provider Business Mailing Address Details
Address
40 Camelot Dr
City
State
Zip
54935-8049
Phone Number
920-907-8201
Fax Number
920-907-8209
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
2226 (Wisconsin)
Definition
Definition to come...
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