| NPI | 1346228541 |
|---|---|
| Doing Business As | SSM HEALTH ST AGNES HOSPITAL FOND DU LAC |
| Entity Type | Organization |
| Authorized Contact | TROY WALKER Director Of Finance 608-356-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 275N00000X Medicare Defined Swing Bed Unit | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-03-12 |