Healthcare Provider Details
I. General information
NPI: 1760420103
Provider Name (Legal Business Name): AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1032 E SUMNER ST
HARTFORD WI
53027
US
IV. Provider business mailing address
1032 E SUMNER ST
HARTFORD WI
53027-1608
US
V. Phone/Fax
- Phone: 262-673-2300
- Fax:
- Phone: 262-673-2300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARA
RICHARDSON
Title or Position: VP MANAGED HEALTH
Credential:
Phone: 704-631-0450