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NPI Code Detail

MEDICARE: AURORA HEALTH CARE VENTURES, INC.

MEDICARE: AURORA HEALTH CARE VENTURES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568482909
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA HEALTH CARE VENTURES, INC.
Provider Business Mailing Address
First Line : 700 N WESTHAVEN DR
Second Line : SUITE 100
City : OSHKOSH
State : WI
Zip : 54904-6947
Country : US
Telephone Number : 920-456-2002
Fax Number : 920-456-2007
Provider Business Practice Location Address
First Line : 700 N WESTHAVEN DR
Second Line : SUITE 100
City : OSHKOSH
State : WI
Zip : 54904-6947
Country : US
Telephone Number : 920-456-2002
Fax Number : 920-456-2007
Authorized Official
Title or Position : VP MANAGED HEALTH
Name : KARA RICHARDSON
Credential :
Telephone Number : 704-631-0450
Provider Enumeration Date : 07/20/2006
Last Update Date : 02/25/2025

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