AURORA HEALTH CARE METRO, INC.

Provider Demographics

• NPI: 1861447179
• Name: AURORA HEALTH CARE METRO, INC.
• Entity Type: Organization
• Organization Name: AURORA HEALTH CARE METRO, INC.
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: NAN
• Authorized Official - Last Name: NELSON
• Authorized Official - Phone: 414-299-1610
• Mailing Address - Street 1: PO BOX 735031
• Mailing Address - City: CHICAGO
• Mailing Address - State: IL
• Mailing Address - Zip Code: 60673-5031
• Mailing Address - Country: US
• Mailing Address - Phone: 414-649-6000
• Practice Address - Street 1: 2900 W OKLAHOMA AVE
• Practice Address - City: MILWAUKEE
• Practice Address - State: WI
• Practice Address - Zip Code: 53215
• Practice Address - Country: US
• Practice Address - Phone: 414-649-6000
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-24
• Last Update Date: 2023-10-03

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	282N00000X	Hospitals	General Acute Care Hospital
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Multi-Specialty
No	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center		Group - Multi-Specialty
No	261QR0400X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WI	21296400	Medicaid
WI	41663100	Medicaid
WI	42230600	Medicaid
WI	11020400	Medicaid
WI	21286000	Medicaid
WI	41171900	Medicaid
WI	41225500	Medicaid
WI	32840200	Medicaid
WI	32759600	Medicaid
WI	41758200	Medicaid
WI	11017200	Medicaid
	CD0490	Other	MEDICARE RAILROAD
WI	32759500	Medicaid
WI	42230100	Medicaid
WI	42230600	Medicaid
	CD0490	Other	MEDICARE RAILROAD
WI	11020400	Medicaid
WI	000000125	Medicare PIN
WI	41225500	Medicaid
WI	000000114	Medicare PIN