| Aurora Medical Center Of Washington County, Inc. | |
|
1032 E Sumner St. Hartford WI 53027 | |
| (262) 673-2300 | |
| Not Available |
| Full Name | Aurora Medical Center Of Washington County, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1032 E Sumner St., Hartford, Wisconsin |
| Authorized Official Name and Position | Gail Leigh Hanson (CFO) |
| Authorized Official Contact | 4142991623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Medical Center Of Washington County, Inc. 1032 E Sumner St. Hartford WI 53027 Ph: (262) 673-2300 | Aurora Medical Center Of Washington County, Inc. 1032 E Sumner St. Hartford WI 53027 Ph: (262) 673-2300 |
| NPI Number | 1740408913 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 11/20/2017 |
| Medicare PECOS PAC ID | 4183522493 |
|---|---|
| Medicare Enrollment ID | O20031223000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740408913 | NPI | - | NPPES |
| 32759300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Adegboyega H Lawal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093799504 PECOS PAC ID: 1658367487 Enrollment ID: I20040426000286 |
| Provider Name | Tammy J Ricker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235101395 PECOS PAC ID: 0345231502 Enrollment ID: I20040518001391 |
| Provider Name | Kevin D Erlinder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447233382 PECOS PAC ID: 9830171164 Enrollment ID: I20040602000240 |
| Provider Name | Douglas J Bell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154304129 PECOS PAC ID: 7012992548 Enrollment ID: I20040621000279 |
| Provider Name | Carrie L Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619039344 PECOS PAC ID: 7517968381 Enrollment ID: I20070122000241 |
| Provider Name | Sarah A Oenning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518085349 PECOS PAC ID: 7618060120 Enrollment ID: I20070829000461 |
| Provider Name | India L Finke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831428986 PECOS PAC ID: 4587706965 Enrollment ID: I20100122000652 |
| Provider Name | Jennifer L Delaruelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851605653 PECOS PAC ID: 3274714019 Enrollment ID: I20110225000768 |
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