MILWAUKEE HEALTH SERVICES INC. NPI 1518005818

NPI Information

NPI: 1518005818
Provider Name: MILWAUKEE HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212
Phone: (414) 267-2021
Get Directions

MILWAUKEE HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Milwaukee, WI. MILWAUKEE HEALTH SERVICES, INC. NPI is 1518005818. The provider is registered as an organization entity type.

The provider's business location address is:

2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212-709
Phone: (414) 267-2021
Fax: (414) 372-7420

The provider's authorized official is Tito Izard .
The authorized official title is President Ceo and has the following contact phone number (414) 267-2021.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/18/2021.

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	261QC1500X	Clinic/Center	Community Health			No
2	261QF0400X	Clinic/Center	Federally 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32958200	MEDICAID	WISCONSIN
2	33780500	MEDICAID	WISCONSIN
3	521829	OTHER	WISCONSIN	MEDICARE UGS#
4	33743200	MEDICAID	WISCONSIN
5	33782900	MEDICAID	WISCONSIN
6	44066400	MEDICAID	WISCONSIN
7	43086700	MEDICAID	WISCONSIN
8	33724600	MEDICAID	WISCONSIN
9	521804	OTHER	WISCONSIN	MEDICAID UGS#
10	32831100	MEDICAID	WISCONSIN
11	42183000	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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