SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC. NPI 1821517681

NPI Information

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 1821517681. The provider is registered as an organization entity type.
The provider Other Name Is Sschc Layton Clinic.

The provider's business location address is:

4570 S 27TH ST
MILWAUKEE, WI
ZIP 53221-145
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 CLIA number assigned to this NPI record is 52D0390144 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2017 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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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