Aurora Medical Group Lake Geneva

LBN: Aurora Medical Group Inc
Aurora Medical Group Lake Geneva is an health care organization with primary practice located at 146 E Geneva Sq , Lake Geneva WI 53147-9694. 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 (262) 249-5040, or through Bailet, Jeffery via phone (414) 647-6322.

Contact Information

Primary practice address
146 E Geneva Sq Lake Geneva WI 53147-9694
Phone: (262) 249-5040
Fax: (262) 249-7146
Website:
Map and Directions
Authorized official contact:
Name: Bailet, Jeffery
Phone: (414) 647-6322

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X
Suppliers / Dialysis Equipment & Supplies 332BD1200X

Profile Details

NPI number 1336296300
LBN Legal business name Aurora Medical Group Inc
DBA Doing business as Aurora Medical Group Lake Geneva
Authorized official Bailet, Jeffery
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 22nd, 2010 - about 15 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 1336296300 NPPES
Wisconsin MEDICAID 1336296300

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