Provider Demographics
NPI:1831727890
Name:AURORA REHABILITATION CLINIC PA
Entity type:Organization
Organization Name:AURORA REHABILITATION CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPPIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-935-2300
Mailing Address - Street 1:4038 N REMINGTON DR STE 3
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-6314
Mailing Address - Country:US
Mailing Address - Phone:479-935-2300
Mailing Address - Fax:479-340-0500
Practice Address - Street 1:4038 N REMINGTON DR STE 3
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-6314
Practice Address - Country:US
Practice Address - Phone:479-935-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care