Provider Type Icon

SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC. NPI 1841255577


NPI Information

NPI: 1841255577
Provider Name: SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

Other Name: SSCHC CHAVEZ DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204
Phone: (414) 672-1353
Get Directions

SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. is a dental clinic center in Milwaukee, WI. SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC. NPI is 1841255577. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sschc Chavez Dental.

The provider's business location address is:

1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI
ZIP 53204-203
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 4/18/2006 and was last updated on 5/3/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
2124Q00000XDental HygienistNo
3126800000XDental AssistantNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
5261QD0000XClinic/CenterDentalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11841255577MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.