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SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC. NPI 1649559642


NPI Information

NPI: 1649559642
Provider Name: SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

Doing Business As: UNITED COMMUNITY CENTER GERIATRIC CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
730 W WASHINGTON ST
MILWAUKEE, WI
ZIP 53204
Phone: (414) 672-1353
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SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Milwaukee, WI. SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. NPI is 1649559642. The provider is registered as an organization entity type.
The provider Is Doing Business As United Community Center Geriatric Clinic.

The provider's business location address is:

730 W WASHINGTON ST
MILWAUKEE, WI
ZIP 53204-310
Phone: (414) 672-1353
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 enumeration date for this NPI number is 8/8/2011 and was last updated on 5/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)1507-800WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649559642MEDICAIDWISCONSIN

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

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