SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC. NPI 1144593815

NPI Information

NPI: 1144593815
Provider Name: SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

Other Name: SSCHC WAUKESHA CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
309 E NORTH ST
WAUKESHA, WI
ZIP 53188
Phone: (262) 408-2530
Get Directions

SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Waukesha, WI. SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. NPI is 1144593815. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sschc Waukesha Clinic.

The provider's business location address is:

309 E NORTH ST
WAUKESHA, WI
ZIP 53188-718
Phone: (262) 408-2530
Fax: (262) 408-5094

The provider's authorized official is Maria Cecilia S Taylor .
The authorized official title is Cfo and has the following contact phone number (414) 803-6395.

The CLIA number assigned to this NPI record is 52D2147696 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2012 and was last updated on 5/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	103T00000X	Psychologist				No
3	104100000X	Social Worker				No
4	207Q00000X	Family Medicine				No
5	207R00000X	Internal Medicine				No
6	207V00000X	Obstetrics & Gynecology				No
7	208000000X	Pediatrics				No
8	225100000X	Physical Therapist				No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
10	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
11	261QM1300X	Clinic/Center	Multi-Specialty			No
12	363A00000X	Physician Assistant				No
13	363L00000X	Nurse Practitioner				No
14	367A00000X	Advanced Practice Midwife				No
15	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	1507-800	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1144593815	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »