MILWAUKEE REGIONAL MEDICAL CENTER INC. (NPI# 1487798740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487798740 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE REGIONAL MEDICAL CENTER INC. |
| Other Organization Name | FLIGHT FOR LIFE |
| Practice Address |
2661 Aviation Rd Waukesha WI 53188-6903 |
| Practice Telephone | 4147784570 |
| Practice Fax Number | 4147785431 |
| Mailing Telephone | 4147784570 |
| Mailing Fax Number | 4147785431 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2017-11-02 |
| Authorized Official Name | JOHN SMEATON (CONTROLLER) |
| Authorized Official Telephone | 4147785929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
9 792301 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER NUMBER | 0005623888 | 01 |
| IL | PTAN | 324329 | 01 |
| Other Name | Type Code |
|---|---|
| Flight For Life | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265576623 | Milwaukee Regional Medical Center Inc. | Ambulance | 2661 Aviation Rd, Waukesha, WI 53188-6903 | 2007-02-19 |
| Street Address |
2661 AVIATION RD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265576623 | Milwaukee Regional Medical Center Inc. | Ambulance | 2661 Aviation Rd, Waukesha, WI 53188-6903 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265576623 | Milwaukee Regional Medical Center Inc. | Ambulance | 2661 Aviation Rd, Waukesha, WI 53188-6903 | 2007-02-19 |
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|---|---|---|---|---|
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| 1154855096 | Ascension St. Clare's Hospital, Inc. | Ambulance | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2017-04-18 |
| 1639331978 | Aspirus Wausau Hospital Inc | Ambulance | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2008-06-27 |
| 1215101076 | Aspirus Wausau Hospital, Inc | Ambulance | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2008-04-14 |
| 1497804363 | Thedacare Regional Medical Center-neenah, Inc. | Ambulance | 130 2nd St, Neenah, WI 54956-2883 | 2007-01-09 |
| 1467468173 | Gundersen Lutheran Medical Center, Inc. | Ambulance | 1900 South Ave, La Crosse, WI 54601-5467 | 2006-08-01 |
| 1629050232 | Saint Joseph's Hospital of Marshfield, Inc | Ambulance | 611 Saint Joseph Ave, Marshfield, WI 54449-1832 | 2005-11-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.