Organization Active NPI

Milwaukee Area Transportation Service Inc

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1710163001
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
41486300 Issued in WI
Legal business name
MILWAUKEE AREA TRANSPORTATION SERVICE INC
Practice address
3619 N 58TH Blvd
Milwaukee, WI 53216-2848
Phone
(414) 349-1068
Fax
(414) 431-8631
NPI assigned
Jan 16, 2008
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Mr. Antoine J Easterling
Title
Owner
Phone
(414) 349-1068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 41486300 WI Primary

Addresses

Primary practice location

3619 N 58TH Blvd
Milwaukee, WI 53216-2848

Mailing address

3619 N 58TH Blvd
Milwaukee, WI 53216-2848
Phone (414) 349-1068

Other identifiers 1

IdentifierTypeStateIssuer
41486300MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1710163001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 N 58TH BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162848",
            "telephone_number": "414-349-1068",
            "fax_number": "414-431-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 N 58TH BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162848",
            "telephone_number": "414-349-1068",
            "fax_number": "414-431-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE AREA TRANSPORTATION SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-349-1068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "41486300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41486300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.