Organization
AURORA MEDICAL CENTER BAY AREA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (SVP FINANCE)
(704) 631-0450
Entity
Organization
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-1721
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 389-1509
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11001400
—
WI
05
—
1711526TYPE30
—
MI
05
—
1711544TYPE40
—
MI
05
—
1719117
—
LA
05
—
2564336
—
OH
05
—
70255300
—
MN
05
—
806019500
—
ID
05
—
=========
—
IL
Enumeration date
11/01/2006
Last updated
10/03/2025
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