Aurora Medical Group Oshkosh West Dialysis
LBN: Aurora Medical Group Inc
Aurora Medical Group Oshkosh West Dialysis is an health care organization with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Suppliers / Dialysis Equipment & Supplies. Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment is the primary health care specialty.
Aurora Medical Group Inc can be contacted via phone (920) 456-7860, or through Bailet, Jeffery via phone (414) 647-6322.
Contact Information
Primary practice address
855 N Westhaven Dr
Oshkosh WI 54904-7668
Phone: (920) 456-7860
Fax: (920) 456-7861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | ||
| Suppliers / Dialysis Equipment & Supplies | 332BD1200X |
Profile Details
| NPI number | 1316147770 |
|---|---|
| LBN Legal business name | Aurora Medical Group Inc |
| DBA Doing business as | Aurora Medical Group Oshkosh West Dialysis |
| Authorized official | Bailet, Jeffery |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Sep 22nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316147770 | NPPES |
| Wisconsin | MEDICAID | 1316147770 |
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