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16TH STREET COMMUNITY HEALTH CENTER, INC., AHC Facilities / Federally Qualified Health Center (FQHC)

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Stethoscope
Reviews Information on 16TH STREET COMMUNITY HEALTH CENTER, INC.
NPI Number 1417912999
State Identifier(s) Wisconsin Other ID #=========017
Wisconsin Medicare PIN #01545
Wisconsin Medicaid #32958300
Wisconsin Medicare OSCAR Certification #521805
Group Name 16TH STREET COMMUNITY HEALTH CENTER, INC.
Credentials - Lic #: (Wisconsin)
Mailing Address Confidential
Business Address 1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203

Phone (414) 672-1353 Fax (414) 672-4265
Name JOHN BARTKOWSKI - (CEO)
Primary Specialty AHC Facilities / Federally Qualified Health Center (FQHC)
Additional Specialties
Last Modified 05/10/2013
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