Aurora Medical Group, Inc. | |
2307 S Business Dr Sheboygan WI 53081-6133 | |
(920) 459-1134 | |
Not Available |
Full Name | Aurora Medical Group, Inc. |
---|---|
Speciality | Clinic/center |
Location | 2307 S Business Dr, Sheboygan, Wisconsin |
Authorized Official Name and Position | Gail Leigh Hanson (CFO) |
Authorized Official Contact | 4142991623 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aurora Medical Group, Inc. 2307 S Business Dr Sheboygan WI 53081-6133 Ph: (920) 459-1134 | Aurora Medical Group, Inc. 2307 S Business Dr Sheboygan WI 53081-6133 Ph: (920) 459-1134 |
NPI Number | 1134342082 |
---|---|
Provider Enumeration Date | 04/10/2007 |
Last Update Date | 11/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134342082 | NPI | - | NPPES |
32833400 | Medicaid | WI | |
32845400 | Medicaid | WI | |
CB6422 | Other | WI | RAILROAD |
32746700 | Medicaid | WI | |
32829300 | Medicaid | WI | |
42230800 | Medicaid | WI | |
32857500 | Medicaid | WI | |
32858600 | Medicaid | WI | |
32877700 | Medicaid | WI | |
32840700 | Medicaid | WI | |
42237400 | Medicaid | WI | |
32845300 | Medicaid | WI | |
490004223 | Other | WI | RAILROAD |
32751200 | Medicaid | WI | |
41912800 | Medicaid | WI | |
32751400 | Medicaid | WI | |
32854200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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