Aurora Medical Center Kenosha

LBN: Aurora Health Care Southern Lakes, Inc.
Aurora Medical Center Kenosha is an health care organization with primary practice located at 10400 75Th St , Kenosha WI 53142. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Radiology, Mobile, Ambulatory Health Care Facilities / Rehabilitation, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Aurora Health Care Southern Lakes, Inc. can be contacted via phone (262) 942-5600, or through Nelson, Nan via phone (414) 299-1610.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142
Phone: (262) 942-5600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Nan
Phone: (414) 299-1610

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1225156888
LBN Legal business name Aurora Health Care Southern Lakes, Inc.
DBA Doing business as Aurora Medical Center Kenosha
Authorized official Nelson, Nan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 11th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225156888 NPPES
Wisconsin MEDICAID 41759000
Wisconsin MEDICAID 41565500
Wisconsin MEDICAID 11022500
Wisconsin MEDICAID 41224100

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