AURORA HEALTH CARE WIC NPI 1619202546

NPI Information

NPI: 1619202546
Provider Name: AURORA HEALTH CARE WIC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 52D0994187

Address:
1218 W KILBOURN AVE
SUITE 207
MILWAUKEE, WI
ZIP 53233
Phone: (414) 219-3210
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AURORA HEALTH CARE WIC is a public health or welfare in Milwaukee, WI. AURORA HEALTH CARE WIC NPI is 1619202546. The provider is registered as an organization entity type.

The provider's business location address is:

1218 W KILBOURN AVE
SUITE 207
MILWAUKEE, WI
ZIP 53233-330
Phone: (414) 219-3210

The provider's authorized official is Jen M. Agnello .
The authorized official title is Manager, Wic Program and has the following contact phone number (414) 219-3344.

The CLIA number assigned to this NPI record is 52D0994187 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2009 and was last updated on 10/9/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	251K00000X	OTHER	WISCONSIN	TAXONOMY

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

NPI Synchronization or Removal

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