SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC. NPI 1518092410

NPI Information

NPI: 1518092410
Provider Name: SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

Other Name: SSCHC PARKWAY CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215
Phone: (414) 672-1353
Get Directions

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 1518092410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sschc Parkway Clinic.

The provider's business location address is:

2906 S 20TH ST
MILWAUKEE, WI
ZIP 53215-732
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 2/22/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	104100000X	Social Worker			No
2	207Q00000X	Family Medicine		WISCONSIN	No
3	207R00000X	Internal Medicine		WISCONSIN	No
4	207V00000X	Obstetrics & Gynecology		WISCONSIN	No
5	208000000X	Pediatrics		WISCONSIN	No
6	225100000X	Physical Therapist			No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		No
8	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		No
9	261QM1300X	Clinic/Center	Multi-Specialty		No
10	363A00000X	Physician Assistant		WISCONSIN	No
11	363L00000X	Nurse Practitioner		WISCONSIN	No
12	367A00000X	Advanced Practice Midwife		WISCONSIN	No
13	101Y00000X	Counselor			No
14	103T00000X	Psychologist			No
15	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	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	1518092410	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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