SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.; NPI #1083679385

Contact Information

SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.

309 E NORTH ST
WAUKESHA, WI 53188-3718

Phone: 414-672-1353
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Occupational Therapist	225X00000X	67	Occupational Therapist in Private Practice
Physical Therapist	225100000X	65	Physical Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.

NPI # 1083679385

LBN Legal business name SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.

Authorized official TANYA STAMPS - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/19/2006

Last updated 01/08/2025 - More than a year ago

Identifiers

Medicaid

32958300

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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SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.

Contact Information

Specialty

Federally Qualified Health Center (FQHC)

Occupational Therapist

Physical Therapist

NPI Profile & details for SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.

Reviews for SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.