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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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
1	324500000X	Substance Abuse Rehabilitation Facility		1657	WISCONSIN	No
2	324500000X	Substance Abuse Rehabilitation Facility		1949	WISCONSIN	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43008400	MEDICAID	WISCONSIN
2	42183900	MEDICAID	WISCONSIN

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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