Aurora Health Center Kenosha

LBN: Aurora Medical Group, Inc.
Aurora Health Center Kenosha is an health care organization with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Aurora Medical Group, Inc. can be contacted via phone (262) 948-7000, or through Balliet, Jeffrey W via phone (414) 647-3047.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Fax:
Website:
Authorized official contact:
Name: Balliet, Jeffrey W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1447392915
LBN Legal business name Aurora Medical Group, Inc.
DBA Doing business as Aurora Health Center Kenosha
Authorized official Balliet, Jeffrey W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated May 23rd, 2024 - about last year

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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