# MILWAUKEE REGIONAL MEDICAL CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Flight for Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265576623
- **Authorized official:** JOHN F SMEATON (CONTOLLER)
- **Authorized official phone:** (414) 778-5929

## Contact information

- **Practice address:** 2661 AVIATION RD, WAUKESHA, WI 53188-6903
- **Practice address phone:** (414) 778-4570
- **Practice address fax:** (414) 778-5431
- **Mailing address:** 2661 AVIATION RD, WAUKESHA, WI 53188-6903
- **Mailing address phone:** (414) 778-4570
- **Mailing address fax:** (414) 778-5431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | 60-11272 | WI | Yes |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 10/04/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41346400 | — | WI |
| 01 | — | K300173022 | MEDICARE PTAN | WI |