Organization
MILWAUKEE REGIONAL MEDICAL CENTER INC.
Active
Other names
Flight for Life
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F SMEATON (CONTOLLER)
(414) 778-5929
Entity
Organization
Contact information
Practice address
2661 AVIATION RD, WAUKESHA, WI 53188-6903
(414) 778-4570
(414) 778-5431
Mailing address
2661 AVIATION RD, WAUKESHA, WI 53188-6903
(414) 778-4570
(414) 778-5431
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
60-11272
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41346400
—
WI
01
—
K300173022
MEDICARE PTAN
WI
Enumeration date
02/19/2007
Last updated
10/04/2017
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