| Outreach Community Health Centers, Inc | |
|
210 W Capitol Dr Family Services Clinic Milwaukee WI 53212 | |
| (414) 727-6320 | |
| Not Available |
| Full Name | Outreach Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 210 W Capitol Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Latasha M Thompson (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 4149649018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Community Health Centers, Inc 210 W Capitol Dr Milwaukee WI 53212-1123 Ph: (414) 727-6320 | Outreach Community Health Centers, Inc 210 W Capitol Dr Family Services Clinic Milwaukee WI 53212 Ph: (414) 727-6320 |
| NPI Number | 1609012020 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609012020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Wisconsin) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
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