Provider Demographics
NPI:1992987549
Name:AURORA SINAI MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:AURORA SINAI MEDICAL CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:EAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-647-3438
Mailing Address - Street 1:946 N VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-3216
Mailing Address - Country:US
Mailing Address - Phone:414-276-4242
Mailing Address - Fax:
Practice Address - Street 1:946 N VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-3216
Practice Address - Country:US
Practice Address - Phone:414-276-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI21296400Medicaid
WI21296400Medicaid