PROGRESSIVE COMMUNITY HEALTH CENTERS INC. NPI 1720153653

NPI Information

PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Milwaukee, WI. PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. NPI is 1720153653. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Lisbon Avenue Health Center.

The provider's business location address is:

3522 W LISBON AVE
MILWAUKEE, WI
ZIP 53208-953
Phone: (414) 935-8000
Fax: (414) 344-3396

The provider's authorized official is Candice Cole .
The authorized official title is Cfo and has the following contact phone number (414) 935-8000.

The CLIA number assigned to this NPI record is 52D0981226 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/24/2006 and was last updated on 1/25/2017.

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:

Other Identifiers

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

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