AURORA MEDICAL GROUP OSHKOSH WEST DIALYSIS – NPI #1316147770
Clinic/Center

AURORA MEDICAL GROUP OSHKOSH WEST DIALYSIS is an AHC clinic located in OSHKOSH, WI. NPPES has assigned the NPI number 1316147770 to AURORA MEDICAL GROUP OSHKOSH WEST DIALYSIS on July 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AURORA MEDICAL GROUP OSHKOSH WEST DIALYSIS” is a dba name, the actual legal business name for this organization is AURORA MEDICAL GROUP INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 16 years ago on Sep 22, 2010. 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 MEDICAL GROUP OSHKOSH WEST DIALYSIS below.

NPI Profile for
AURORA MEDICAL GROUP INC

NPI Number
1316147770
Enumeration Date

(about 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 MEDICAL GROUP OSHKOSH WEST DIALYSIS
Primary location
855 N WESTHAVEN DR
OSHKOSH, WI 54904-7668
Phone: (920) 456-7860 Fax: (920) 456-7861
Mailing address
5200 VIRGINIA WAY
4TH FLOOR L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4521 Fax:
Organization Subpart
No
Authorized Official
JEFFERY BAILET
PRESIDENT
Phone: (414) 647-6322
Updated
Identifiers

Identifiers for AURORA MEDICAL GROUP OSHKOSH WEST DIALYSIS

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
MEDICAIDWI1316147770
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.

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.