PROGRESSIVE COMMUNITY HEALTH CENTERS INC NPI 1376851311

NPI Information

NPI: 1376851311
Provider Name: PROGRESSIVE COMMUNITY HEALTH CENTERS, INC

Other Name: HILLSIDE FAMILY PRACTICE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1452 N 7TH ST
2ND FLOOR
MILWAUKEE, WI
ZIP 53205
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 1376851311. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Hillside Family Practice.

The provider's business location address is:

1452 N 7TH ST
2ND FLOOR
MILWAUKEE, WI
ZIP 53205-301
Phone: (414) 935-8000

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 9/23/2010 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	207QA0505X	Family Medicine	Adult Medicine	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
4	363A00000X	Physician Assistant		No

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
1	32957400	MEDICAID	WISCONSIN
2	521838	MEDICARE OSCAR/CERTIFICATION
3	000001435	MEDICARE 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

NPI Synchronization or Removal

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