National Provider Identifier Database

PROGRESSIVE COMMUNITY HEALTH CENTERS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
3522 W LISBON AVE
MILWAUKEE, WI53208-1953
Phone: 414-935-8000
Fax: 414-344-3396
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical 1041C0700X
Dental Hygienist 124Q00000X
Dentist 122300000X
Family 363LF0000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Obstetrics & Gynecology 207V00000X
Pediatrics 208000000X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

NPI Number 1720153653
Legal business name
LBN
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Authorized official CANDICE COLE - (CFO)
Entity Organization
Organization subpart No
Enumeration date 11/24/2006
Last updated 01/25/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 32957400

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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