DHS Wisconsin Facilities

FAC

HSPLACU93

License Number

120

Faciity Name

SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC

Address

430 E DIVISION ST

City

FOND DU LAC

State

WI

Zip Code

54935

Telephone

(920) 929-2300

FAX

( ) -

Admin First Name

KYLE

Admin Last Name

NONDORF

Net Bed Count

146

Team Abbreviation

NER

Accrediated

YES

County

FOND DU LAC

Medicare Provider

520088

Medicare Participation Date

01-Jul-66

Subtype

SHORT TERM

Notes

None

Information From

DHS Website

Last Updated

2025-11-30 00:00:00