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SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC. NPI 1316587439


NPI Information

NPI: 1316587439
Provider Name: SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

Other Name: SSCHC NATIONAL AVE CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1635 W NATIONAL AVE
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 1316587439. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sschc National Ave Clinic.

The provider's business location address is:

1635 W NATIONAL AVE
MILWAUKEE, WI
ZIP 53204-130
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 1/7/2020 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineNo
6207V00000XObstetrics & GynecologyNo
7208000000XPediatricsNo
8225100000XPhysical TherapistNo
9261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
10261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
11261QM1300XClinic/CenterMulti-SpecialtyNo
12363A00000XPhysician AssistantNo
13363L00000XNurse PractitionerNo
14367A00000XAdvanced Practice MidwifeNo
15261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11316587439MEDICAIDWISCONSIN
201545OTHERWISCONSINMEDICARE PIN

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

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.