Organization Active NPI

Milwaukee Regional Medical Center Inc.

  • Air Ambulance
  • Waukesha, WI
National Provider Identifier
1487798740
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
9 792301 Issued in IL
Legal business name
MILWAUKEE REGIONAL MEDICAL CENTER INC.
Practice address
2661 Aviation Rd
Waukesha, WI 53188-6903
Phone
(414) 778-4570
Fax
(414) 778-5431
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
John Smeaton
Title
Controller
Phone
(414) 778-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 9 792301 IL Primary

Addresses

Primary practice location

2661 Aviation Rd
Waukesha, WI 53188-6903

Mailing address

2661 Aviation Rd
Waukesha, WI 53188-6903
Phone (414) 778-4570

Other identifiers 2

IdentifierTypeStateIssuer
0005623888OtherILBCBS PROVIDER NUMBER
324329OtherILPTAN

Other names 1

  • Flight For Life Doing business as

National Provider Directory

National Provider Directory

Locations

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1487798740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 AVIATION RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886903",
            "telephone_number": "414-778-4570",
            "fax_number": "414-778-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 AVIATION RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886903",
            "telephone_number": "414-778-4570",
            "fax_number": "414-778-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE REGIONAL MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "SMEATON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "414-778-5929"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "IL",
            "license": "9 792301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0005623888",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "324329",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flight For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.