| Agnesian Healthcare, Inc | |
|
430 E Division St Fond Du Lac WI 54935-4560 | |
| (920) 929-2300 | |
| (920) 926-8885 |
| Full Name | Agnesian Healthcare, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 430 E Division St, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Bonnie R Schmitz (CFO) |
| Authorized Official Contact | 9209264480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnesian Healthcare, Inc 430 E Division St Fond Du Lac WI 54935-4560 Ph: (920) 929-2300 | Agnesian Healthcare, Inc 430 E Division St Fond Du Lac WI 54935-4560 Ph: (920) 929-2300 |
| NPI Number | 1598743726 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 03/12/2022 |
| Certification Date | 03/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598743726 | NPI | - | NPPES |
| 547140 | Other | WI | DEAN CARE |
| 101159 | Other | WI | VESTICA |
| 11013000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Fond Du Lac County Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
Positive Clinical Concepts Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Ruggles St, Fond Du Lac, WI 54935 Phone: 801-703-6192 | |
Transformative Connections Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Guindon Blvd, Fond Du Lac, WI 54935 Phone: 920-318-3282 | |
Integrated Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N6687 Wrightway Dr Ste D, Fond Du Lac, WI 54937 Phone: 920-929-9140 Fax: 920-929-9142 | |
Optum Behavioral Care Of Colorado, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 3rd St, Fond Du Lac, WI 54935 Phone: 920-733-2065 | |
Alicia Hans Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 N Portland St Ste 2b, Fond Du Lac, WI 54935 Phone: 920-630-1324 Fax: 920-479-2870 | |
Wisconsin Lutheran Child & Family Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 S Main St, Suite 8, Fond Du Lac, WI 54935 Phone: 920-731-9798 Fax: 920-731-1097 |