PROGRESSIVE COMMUNITY HEALTH CENTERS INC. NPI 1023484961

NPI Information

NPI: 1023484961
Provider Name: PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

Other Name: 12TH STREET URGENT CARE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
945 N 12TH ST
URGENT CARE
MILWAUKEE, WI
ZIP 53233
Phone: (414) 935-8000
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PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Milwaukee, WI. PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. NPI is 1023484961. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is 12th Street Urgent Care.

The provider's business location address is:

945 N 12TH ST
URGENT CARE
MILWAUKEE, WI
ZIP 53233-305
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 enumeration date for this NPI number is 8/14/2015 and was last updated on 2/1/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
3	261QU0200X	Clinic/Center	Urgent Care	No
4	363LF0000X	Nurse Practitioner	Family	No

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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