Active NPI
City of West Allis
- Public Health or Welfare Agency
- West Allis, WI
National Provider Identifier
1104025444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CITY OF WEST ALLIS
- Practice address
- 7120 W National Ave
West Allis, WI 53214-4732 - Phone
- (414) 302-8600
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Leischow
- Title
- Health Commissioner
- Phone
- (414) 302-8627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | WI | Primary |
Addresses
Primary practice location
7120 W National Ave
West Allis, WI 53214-4732
Mailing address
7120 W National Ave
West Allis, WI 53214-4732
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41850300 | Medicaid | WI | |
| 43087300 | Medicaid | WI | |
| 44007200 | Medicaid | WI | |
| 000082012 | Other | WI | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090527000275 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9537193198 | Practice locations: West Allis, WI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- City of West Allis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- West Allis, WI
- NPI 1073564241
Locations
2040 S 67th Pl
West Allis, WI 53219
Phone (414) 302-8904
10830 W Lapham St
West Allis, WI 53214
Phone (414) 302-8904
7300 W National Ave
West Allis, WI 53214
Phone (414) 302-8904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1104025444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 W NATIONAL AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 W NATIONAL AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144732",
"telephone_number": "414-302-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF WEST ALLIS",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A",
"authorized_official_last_name": "LEISCHOW",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "HEALTH COMMISSIONER",
"authorized_official_telephone_number": "414-302-8627",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41850300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43087300",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44007200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "000082012",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.