SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC


Address: 309 E North St., Waukesha, WI 53188
Phone: 4146721353

SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC (NPI# 1144593815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144593815
Entity Type Organization
Organization Name SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC
Practice Address 309 E North St.
Waukesha
WI 53188
Mailing Address 1337 S Cesar E Chavez Dr
Milwaukee
WI 53204-2712
Practice Telephone 4146721353
Practice Fax Number 4146724265
Mailing Telephone 4146726220
Mailing Fax Number 4146720191
Enumeration Date 2012-02-10
Last Update Date 2018-07-20
Authorized Official Name MICHAEL MASCHEK (VP OF FINANCE AND STRATEGY)
Authorized Official Telephone 4148975156
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
1507-800 WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 1144593815 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518092410 Sixteenth Street Community Health Centers Inc Internal Medicine 2906 S 20th St, Milwaukee, WI 53215 2007-02-22
1417912999 Sixteenth Street Community Health Centers Inc Registered Nurse 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204 2006-04-19

Office Location

Street Address 309 E NORTH ST.
City WAUKESHA
State WI
Zip Code 53188

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326693847 Scenic Bluffs Health Center, Inc Clinic/Center 100 Blackhawk Dr, Viroqua, WI 54665-1315 2019-08-02
1942718762 Sixteenth Street Community Health Centers, Inc. Clinic/Center 2607 S 5th St, Milwaukee, WI 53207-1418 2018-01-15
1659884716 The Lakes Community Health Center, Inc Clinic/Center 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 2017-11-13
1275056632 Outreach Community Health Centers, Inc. Clinic/Center 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 2017-07-18
1437695038 Scenic Bluffs Health Center, Inc. Clinic/Center 200 West North Street, Norwalk, WI 54648 2017-01-06
1841742673 The Lakes Community Health Center, Inc Clinic/Center 300 Main Street West, Ashland, WI 54806-3696 2016-10-27
1174071658 Kenosha Community Health Center, Inc. Clinic/Center 2310 Center St, Racine, WI 53403-3330 2016-09-14
1841652021 Scenic Bluffs Health Center, Inc. Clinic/Center 201 E Franklin St Rm B3, Sparta, WI 54656-1803 2016-03-25
1366844003 Scenic Bluffs Health Center, Inc Clinic/Center 201 E Franklin St # B3, Sparta, WI 54656-1803 2014-09-25
1679983423 The Lakes Community Health Center, Inc Clinic/Center 524 Bissell Street, White Lake, WI 54491 2014-05-02
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Competitor

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City WAUKESHA
Zip Code 53188

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Dataset Information

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.

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