PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.; NPI #1720153653

Contact Information

PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

3522 W LISBON AVE
MILWAUKEE, WI 53208-1953

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
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Dental Hygienist	124Q00000X
Dentist	122300000X
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology
Pediatrics	208000000X	37	Physician/Pediatric Medicine
Psychiatry	2084P0800X	26	Physician/Psychiatry

Indicates primary specialty

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

NPI # 1720153653

LBN Legal business name PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

Authorized official CANDICE COLE - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/24/2006

Last updated 01/25/2017 - About 9 years ago

Identifiers

Medicaid

32957400

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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PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

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

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