| Sixteenth Street Community Health Center, Inc | |
|
2906 S 20th St Milwaukee WI 53215-3732 | |
| (414) 672-1353 | |
| Not Available |
| Full Name | Sixteenth Street Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2906 S 20th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | John Bartkowski (CEO) |
| Authorized Official Contact | 4146721353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sixteenth Street Community Health Center, Inc 1032 S Cesar E Chavez Dr Milwaukee WI 53204-2203 Ph: (414) 672-1353 | Sixteenth Street Community Health Center, Inc 2906 S 20th St Milwaukee WI 53215-3732 Ph: (414) 672-1353 |
| NPI Number | 1528304797 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528304797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7950-123 (Wisconsin) | Primary |
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