NPIMap

Organization Active NPI

Aurora Community Clinic SC

  • Medical Specialty Clinic/Center
  • Medford, WI
National Provider Identifier
1407501059
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
AURORA COMMUNITY CLINIC SC
Practice address
123 W State St
Medford, WI 54451-1772
Phone
(157) 484-4337
Fax
(715) 748-6304
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Samuel Klinner, DCNPI 1003188509
Title
Secretary
Phone
(715) 748-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

123 W State St
Medford, WI 54451-1772

Mailing address

N4895 Lang Farm Dr
Medford, WI 54451-8889
Phone (715) 748-4433

National Provider Directory

National Provider Directory

Locations

123 W State St
Ste 2
Medford, WI 54451
Phone (715) 748-4433

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1407501059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4895 LANG FARM DR",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544518889",
            "telephone_number": "715-748-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W STATE ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511772",
            "telephone_number": "157-484-4337",
            "fax_number": "715-748-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA COMMUNITY CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "KLINNER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "715-748-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.