AGNESIAN HEALTHCARE, INC – NPI #1558139956
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

Health Care Provider Taxonomy Code for Clinic/Center

AGNESIAN HEALTHCARE, INC is an AHC clinic located in FOND DU LAC, WI. NPPES has assigned the NPI number 1558139956 to AGNESIAN HEALTHCARE, INC on December 14, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QX0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGNESIAN HEALTHCARE, INC below.

NPI Profile for
AGNESIAN HEALTHCARE, INC

NPI Number
1558139956
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AGNESIAN HEALTHCARE, INC
Primary location
480 E DIVISION ST
FOND DU LAC, WI 54935-3734
Phone: (920) 926-4100 Fax:
Mailing address
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone: Fax:
Organization Subpart
No
Authorized Official
JOSEPH MINERATH
SYSTEM DIRECTOR - GOV REIMB
Phone: (608) 445-2411
Updated
Certification Date
Dec 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QX0200X
- Clinic/Center / Oncology (Primary)
261QX0203X
- Clinic/Center / Oncology, Radiation
261QI0500X
- Clinic/Center / Infusion Therapy
207RX0202X
- Internal Medicine / Medical Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.