Provider Demographics
NPI:1194278952
Name:AURORA HEALTH CARE
Entity type:Organization
Organization Name:AURORA HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-649-6000
Mailing Address - Street 1:9200 W LOOMIS RD STE 107
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9621
Mailing Address - Country:US
Mailing Address - Phone:414-529-9128
Mailing Address - Fax:414-529-9109
Practice Address - Street 1:9200 W LOOMIS RD STE 107
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-9621
Practice Address - Country:US
Practice Address - Phone:414-529-9128
Practice Address - Fax:414-529-9109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2743282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital