AURORA HEALTH CARE WIC
NPI 1619202546
Public Health or Welfare in Milwaukee, WI

Active since October 09, 2009CLIA 52D0994187 · Waiver
1218 W KILBOURN AVE, SUITE 207, MILWAUKEE, WI 53233(414) 219-3210 Get Directions Write a Review

NPPES record last updated: October 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aurora Health Care Wic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AURORA HEALTH CARE WIC (NPI 1619202546) is a healthcare organization registered as a public health or welfare in Milwaukee, Wisconsin and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Jen M. Agnello, Manager, Wic Program, as its authorized official.

NPPES Registry Identity

NPI1619202546
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameAURORA HEALTH CARE WIC
Location Address1218 W KILBOURN AVE, SUITE 207Milwaukee, WI 53233-1330
Mailing Address1218 W Kilbourn Ave, Suite 207Milwaukee, WI 53233-1330 · (414) 219-3210
Organization SubpartNo
Authorized OfficialJen M. AgnelloManager, Wic Program · (414) 219-3344
Enumeration DateOctober 9, 2009
NPI 1619202546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
1218 W KILBOURN AVE, Milwaukee, WI 53233

Other Identifiers 1

Other251K00000XWI · Taxonomy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0994187

Aurora Health Care Wic Project Sinai Samaritan Med Ctr Physician Office Bldg · Milwaukee, WI
Active · expires Dec 6, 2027
CLIA Number52D0994187
Laboratory TypePublic Health Laboratories
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorMs. Jen M. Agnello
Laboratory Phone(414) 219-3210
Laboratory LocationAurora Health Care Wic Project Sinai Samaritan Med Ctr Physician Office Bldg1218 W Kilbourn Ave Suite 207, Milwaukee, WI 53233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1218 W KILBOURN AVE, SUITE 404
MILWAUKEE, WI 53233
Specialist
1218 W KILBOURN AVE, SUITE 301
MILWAUKEE, WI 53233
Physician Assistant
1218 W KILBOURN AVE, SUITE 511
MILWAUKEE, WI 53233
Advanced Practice Midwife
1218 W KILBOURN AVE, SUITE 200
MILWAUKEE, WI 53233
Internal Medicine
1218 W KILBOURN AVE, SUITE 403
MILWAUKEE, WI 53233
Internal Medicine
1218 W KILBOURN AVE, STE 124
MILWAUKEE, WI 53233
Physician Assistant
1218 W KILBOURN AVE, SUITE 511
MILWAUKEE, WI 53233
Internal Medicine (Hematology & Oncology)
1218 W KILBOURN AVE, SUITE 200
MILWAUKEE, WI 53233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aurora Health Care Wic's NPI number?

The NPI number for Aurora Health Care Wic is 1619202546. It was assigned to this organization in the NPPES registry on October 9, 2009.

Where is Aurora Health Care Wic located?

Aurora Health Care Wic is located at 1218 W Kilbourn Ave Suite 207, Milwaukee, WI 53233. The listed phone number is (414) 219-3210.

What is Aurora Health Care Wic's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Aurora Health Care Wic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0994187) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aurora Health Care Wic was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.