Provider Demographics
NPI:1386930824
Name:AURORA HEALTH CARE SOUTHERN LAKES, INC.
Entity type:Organization
Organization Name:AURORA HEALTH CARE SOUTHERN LAKES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE SOUTH
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-767-6462
Mailing Address - Street 1:300 MC CANNA PKWY
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-3622
Mailing Address - Country:US
Mailing Address - Phone:262-767-7000
Mailing Address - Fax:
Practice Address - Street 1:300 MC CANNA PKWY
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-3622
Practice Address - Country:US
Practice Address - Phone:262-767-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies