Active NPI
Milwaukee Regional Medical Center Inc.
- Air Ambulance
- Waukesha, WI
National Provider Identifier
1487798740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 9 792301
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005623888 | Other | IL | BCBS PROVIDER NUMBER |
| 324329 | Other | IL | PTAN |
Other names 1
- Flight For Life
National Provider Directory
National Provider DirectoryLocations
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.