Organization
AURORA HEALTH CARE METRO, 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
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215
(414) 649-6000
Mailing address
PO BOX 735031, CHICAGO, IL 60673-5031
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11017200
—
WI
05
—
11020400
—
WI
05
—
21286000
—
WI
05
—
21296400
—
WI
05
—
32759500
—
WI
05
—
32759600
—
WI
05
—
32840200
—
WI
05
—
41171900
—
WI
05
—
41225500
—
WI
05
—
41663100
—
WI
05
—
41758200
—
WI
05
—
42230100
—
WI
05
—
42230600
—
WI
01
—
CD0490
MEDICARE RAILROAD
—
Enumeration date
05/24/2006
Last updated
10/01/2025
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