GERALD L. IGNACE INDIAN HEALTH CENTER, INC. (NPI# 1023064086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023064086 |
| Entity Type | Organization |
| Organization Name | GERALD L. IGNACE INDIAN HEALTH CENTER, INC. |
| Practice Address |
930 W Historic Mitchell St Milwaukee WI 53204-3533 |
| Mailing Address |
1711 South 11th Street Milwaukee WI 53204-3310 |
| Practice Telephone | 4143839526 |
| Practice Fax Number | 4146496711 |
| Mailing Telephone | 4143839526 |
| Mailing Fax Number | 4143893881 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | LYLE A. IGNACE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4143839526 |
| Authorized Official Credential | M.D., M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CHAMPUS | 093488131 | 01 |
| WI | 32957100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487171054 | Gerald L. Ignace Indian Health Center, Inc. | Pharmacy | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2017-08-24 |
| 1447657739 | Gerald L. Ignace Indian Health Center, Inc. | Clinic/Center | 1711 S 11th St, Milwaukee, WI 53204-3310 | 2014-12-02 |
| Street Address |
930 W HISTORIC MITCHELL ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033184759 | Paul Ginkel | Obstetrics & Gynecology | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2006-02-17 |
| 1619595568 | Alaina Jane Hanks | Counselor | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2020-07-08 |
| 1184192965 | Daniel Lee Preston | Counselor | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2018-11-09 |
| 1285100222 | Winifred L Butler | Social Worker | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2018-10-17 |
| 1003322728 | Claudia H Weiland | Dental Hygienist | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2017-12-18 |
| 1710498514 | Gerald L Ignace Indian Dental Center, LLC | Dentist | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2017-10-19 |
| 1487171054 | Gerald L. Ignace Indian Health Center, Inc. | Pharmacy | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2017-08-24 |
| 1487180444 | Loren Rendino | Dietitian, Registered | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2017-05-11 |
| 1023542933 | Lydia Biehr | Nurse Practitioner | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2017-04-18 |
| 1619414513 | Luke Wild | Counselor | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| 1255844106 | Comprehensive Diagnostic Imaging of Wisconsin, LLC | Clinic/Center | 2500 W Layton Ave Ste 20, Milwaukee, WI 53221-5400 | 2017-11-14 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1861859902 | Wisconsin Healthcare Network LLC | Clinic/Center | 5600 W Brown Deer Rd Ste 228, Milwaukee, WI 53223-2311 | 2016-01-20 |
| 1801229653 | Sixteen Street Community Health Center | Clinic/Center | 1337 S Cesar E Chavez Dr, Milwaukee, WI 53204-2712 | 2013-08-15 |
| 1821333550 | Milwaukee Spine and Joint Center | Clinic/Center | 1631 W Lincoln Ave, Milwaukee, WI 53215-2637 | 2012-12-06 |
| 1003175316 | Healing Center of Milwaukee | Clinic/Center | 5800 W Forest Home Ave, Milwaukee, WI 53220-1954 | 2012-05-07 |
| 1437472172 | Physician Associates of Wisconsin, Sc | Clinic/Center | 7033 Wellauer Dr, Milwaukee, WI 53213-3734 | 2010-03-09 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.