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Contact Information

SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
4570 S 27TH ST
MILWAUKEE, WI53221-2145
 Phone: 414-672-1353
 Fax: 262-408-5094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Adolescent and Children Mental Health

261QM0855X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.

NPI # 1821517681
LBN Legal business name SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
Authorized official MARIA CECILIA TAYLOR - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2017
Last updated 05/16/2023 - About 3 years ago
Identifiers
WI Medicaid 1821517681
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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