NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

12TH STREET URGENT CARE
LBN PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
945 N 12TH ST
URGENT CARE
MILWAUKEE, WI53233-1305
 Phone: 414-935-8000
 Fax: 414-344-3396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for 12TH STREET URGENT CARE

NPI Number 1023484961
LBN Legal business name PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
DBA Doing business as 12TH STREET URGENT CARE
Authorized official CANDICE COLE - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2015
Last updated 02/01/2017 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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