Provider Demographics
NPI:1982348124
Name:AURORA HEALTH CARE CENTRAL, INC.
Entity Type:Organization
Organization Name:AURORA HEALTH CARE CENTRAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP FINANCIAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-299-1610
Mailing Address - Street 1:3400 UNION AVE STE 1C1006
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-8426
Mailing Address - Country:US
Mailing Address - Phone:920-802-1630
Mailing Address - Fax:920-802-1635
Practice Address - Street 1:3400 UNION AVE STE 1C1006
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-8426
Practice Address - Country:US
Practice Address - Phone:920-802-1630
Practice Address - Fax:920-802-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy