Aurora Medical Group Sturgeon Bay Dialysis

LBN: Aurora Medical Group Inc
Aurora Medical Group Sturgeon Bay Dialysis is an health care organization with primary practice located at 108 S 10Th Ave , Sturgeon Bay WI 54235-1802. 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) 746-7955, or through Bailet, Jeffery via phone (414) 647-6322.

Contact Information

Primary practice address
108 S 10Th Ave Sturgeon Bay WI 54235-1802
Phone: (920) 746-7955
Fax: (920) 746-7974
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 1689722969
LBN Legal business name Aurora Medical Group Inc
DBA Doing business as Aurora Medical Group Sturgeon Bay Dialysis
Authorized official Bailet, Jeffery
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689722969 NPPES
Wisconsin MEDICAID 1689722969

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