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AURORA HEALTH CARE SOUTHERN LAKES INC. NPI 1225156888


NPI Information

NPI: 1225156888
Provider Name: AURORA HEALTH CARE SOUTHERN LAKES, INC.

Other Name: AURORA MEDICAL CENTER KENOSHA

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 52D0979989

Address:
10400 75TH ST
KENOSHA, WI
ZIP 53142
Phone: (262) 942-5600
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AURORA HEALTH CARE SOUTHERN LAKES, INC. is a general acute care hospital in Kenosha, WI. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. AURORA HEALTH CARE SOUTHERN LAKES, INC. NPI is 1225156888. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Aurora Medical Center Kenosha.

The provider's business location address is:

10400 75TH ST
KENOSHA, WI
ZIP 53142
Phone: (262) 942-5600

The provider's authorized official is Nan Nelson .
The authorized official title is Cfo and has the following contact phone number (414) 299-1610.

The CLIA number assigned to this NPI record is 52D0979989 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 6/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207U00000XNuclear MedicineNo
32085R0001XRadiologyRadiation OncologyNo
4208600000XSurgeryNo
5208VP0000XPain MedicinePain MedicineNo
6261QR0208XClinic/CenterRadiology, MobileNo
7261QR0400XClinic/CenterRehabilitationNo
8282N00000XGeneral Acute Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141565500MEDICAIDWISCONSIN
241759000MEDICAIDWISCONSIN
341224100MEDICAIDWISCONSIN
411022500MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.