Provider Demographics
NPI:1568482909
Name:AURORA HEALTH CARE VENTURES, INC.
Entity type:Organization
Organization Name:AURORA HEALTH CARE VENTURES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP MANAGED HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-631-0450
Mailing Address - Street 1:700 N WESTHAVEN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-6947
Mailing Address - Country:US
Mailing Address - Phone:920-456-2002
Mailing Address - Fax:920-456-2007
Practice Address - Street 1:700 N WESTHAVEN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-6947
Practice Address - Country:US
Practice Address - Phone:920-456-2002
Practice Address - Fax:920-456-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38457400Medicaid
WI1179350010Medicare NSC