| 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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