Organization
AURORA MEDICAL CENTER OF OSHKOSH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (VP MANAGED HEALTH)
(704) 631-0450
Entity
Organization
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904
(920) 456-6000
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(920) 456-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
282NC0060X
Critical Access Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11024300
—
WI
01
—
DA2552
MEDICARE RAILROAD
—
Enumeration date
06/17/2006
Last updated
10/01/2025
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