Aurora Medical Group, Inc. | |
1425 Memorial Dr Manitowoc WI 54220-6707 | |
(920) 683-9500 | |
Not Available |
Full Name | Aurora Medical Group, Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1425 Memorial Dr, Manitowoc, Wisconsin |
Authorized Official Name and Position | Jeffrey Bailet (PRESIDENT) |
Authorized Official Contact | 4146476322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aurora Medical Group, Inc. 1425 Memorial Dr Manitowoc WI 54220-6707 Ph: (920) 683-9500 | Aurora Medical Group, Inc. 1425 Memorial Dr Manitowoc WI 54220-6707 Ph: (920) 683-9500 |
NPI Number | 1821286493 |
---|---|
Provider Enumeration Date | 10/09/2007 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821286493 | NPI | - | NPPES |
32840700 | Medicaid | WI | |
42230800 | Medicaid | WI | |
42237400 | Medicaid | WI | |
32877700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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C Schroeder Psych Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Maritime Dr, Manitowoc, WI 54220 Phone: 920-769-0152 Fax: 920-769-0153 | |
Coachingpositivity, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Memorial Dr, Manitowoc, WI 54220 Phone: 920-682-9119 | |
Diana Lampsa Mdsc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 Memorial Dr, Manitowoc, WI 54220 Phone: 920-683-9500 | |
Manitowoc Co Human Services Dept. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 Fax: 920-683-4908 | |
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