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1922053107

NPI Code Detail

MEDICARE: AURORA HEALTH CARE CENTRAL, INC.

MEDICARE: AURORA HEALTH CARE CENTRAL, 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
1	261Q00000X	Clinic/Center
2	207RX0202X	Medical Oncology Physician
3	207P00000X	Emergency Medicine Physician
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	2085R0001X	Radiation Oncology Physician
6	282N00000X	General Acute Care Hospital

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	CH0718	OTHER		MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1922053107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA HEALTH CARE CENTRAL, INC.

Provider Business Mailing Address
First Line	:	3400 UNION AVE
Second Line	:
City	:	SHEBOYGAN
State	:	WI
Zip	:	53081-8426
Country	:	US
Telephone Number	:	920-802-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 UNION AVE
Second Line	:
City	:	SHEBOYGAN
State	:	WI
Zip	:	53081-8426
Country	:	US
Telephone Number	:	920-802-2100
Fax Number	:

Authorized Official
Title or Position	:	VP MANAGED HEALTH
Name	:	KARA RICHARDSON
Credential	:
Telephone Number	:	704-631-0450

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	10/01/2025

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Directions to “AURORA HEALTH CARE CENTRAL, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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