Provider Type Icon

MUSLIM COMMUNITY AND HEALTH CENTER OF WISCONSIN INC NPI 1962850768


NPI Information

NPI: 1962850768
Provider Name: MUSLIM COMMUNITY AND HEALTH CENTER OF WISCONSIN INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 52D2171166

Address:
803 W LAYTON AVE
MILWAUKEE, WI
ZIP 53221
Phone: (414) 939-4411
Get Directions

MUSLIM COMMUNITY AND HEALTH CENTER OF WISCONSIN INC is a community health clinic center in Milwaukee, WI. MUSLIM COMMUNITY AND HEALTH CENTER OF WISCONSIN INC NPI is 1962850768. The provider is registered as an organization entity type.

The provider's business location address is:

803 W LAYTON AVE
MILWAUKEE, WI
ZIP 53221-426
Phone: (414) 939-4411
Fax: (414) 939-4466

The provider's authorized official is Arman Tahir .
The authorized official title is President and has the following contact phone number (414) 939-4411.

The CLIA number assigned to this NPI record is 52D2171166 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2016 and was last updated on 11/15/2016.


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
1261QC1500XClinic/CenterCommunity HealthYes

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
11962850768MEDICAIDWISCONSIN

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.