| Healthcare For The Homeless | |
|
9120 W Hampton Ave Ste 119 Milwaukee WI 53225-4960 | |
| (414) 727-6320 | |
| Not Available |
| Full Name | Healthcare For The Homeless |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9120 W Hampton Ave Ste 119, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Constance Palmer (INTERIM CEO) |
| Authorized Official Contact | 4147276320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare For The Homeless 711 W Capitol Dr Milwaukee WI 53206-3328 Ph: (414) 964-9018 | Healthcare For The Homeless 9120 W Hampton Ave Ste 119 Milwaukee WI 53225-4960 Ph: (414) 727-6320 |
| NPI Number | 1275056632 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275056632 | NPI | - | NPPES |
| 42219000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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