UNITED COMMUNITY CENTER NPI 1467609776

NPI Information

  • NPI: 1467609776
  • Provider Name: UNITED COMMUNITY CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 52D2296967
  • Address: 1111 S 6TH ST
    MILWAUKEE, WI
    ZIP 53204
  • Phone: (414) 643-8530

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NPI Details

UNITED COMMUNITY CENTER is a substance abuse rehabilitation facility in Milwaukee, WI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. UNITED COMMUNITY CENTER NPI is 1467609776. The provider is registered as an organization entity type.

The provider's business location address is:

1111 S 6TH ST
MILWAUKEE, WI
ZIP 53204-301
Phone: (414) 643-8530
Fax: (414) 647-8602

The provider's authorized official is Cindy Kay Suszek .
The authorized official title is Director Of Human Services and has the following contact phone number (414) 649-1922.

The CLIA number assigned to this NPI record is 52D2296967 - other - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.

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 License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility1657WISCONSINNo
2324500000XSubstance Abuse Rehabilitation Facility1949WISCONSINYes

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 Other Provider Identifier Issuer
143008400MEDICAIDWISCONSIN
242183900MEDICAIDWISCONSIN

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: 11/21/2025

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