AURORA SHEBOYGAN CLINIC – NPI #1174670244
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

AURORA SHEBOYGAN CLINIC is an AHC clinic located in SHEBOYGAN, WI. NPPES has assigned the NPI number 1174670244 to AURORA SHEBOYGAN CLINIC on January 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AURORA SHEBOYGAN CLINIC” is a dba name, the actual legal business name for this organization is AURORA MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 18 years ago on Aug 22, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AURORA SHEBOYGAN CLINIC below.

NPI Profile for
AURORA MEDICAL GROUP, INC.

NPI Number
1174670244
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AURORA MEDICAL GROUP, INC.
Doing Business As (dba): AURORA SHEBOYGAN CLINIC
Primary location
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081-3129
Phone: (920) 457-4461 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY BAILET
PRESIDENT
Phone: (414) 647-6322
Updated
Identifiers

Identifiers for AURORA SHEBOYGAN CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI42193100
MEDICAIDWI32718000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.