OUTREACH COMMUNITY HEALTH CENTERS, INC.


Address: 1730 S 13th St, Milwaukee, WI 53204-3201
Phone: 4143833220

OUTREACH COMMUNITY HEALTH CENTERS, INC. (NPI# 1205318102) 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) 1205318102
Entity Type Organization
Organization Name OUTREACH COMMUNITY HEALTH CENTERS, INC.
Other Organization Name ST ELIZABETH ANN SETON DENTAL CLINIC
Practice Address 1730 S 13th St
Milwaukee
WI 53204-3201
Mailing Address 711 W Capitol Dr
Milwaukee
WI 53206-3328
Practice Telephone 4143833220
Practice Fax Number 4143833363
Mailing Telephone 1414964901
Enumeration Date 2018-09-06
Last Update Date 2018-09-06
Authorized Official Name LATASHA M THOMPSON (REVENUE CYCLE MANAGER)
Authorized Official Telephone 4149649018
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)
WI Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ST ELIZABETH ANN SETON DENTAL CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275056632 Outreach Community Health Centers, Inc. Clinic/Center 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 2017-07-18
1942459094 Outreach Community Health Centers, Inc. Public Health or Welfare 711 W Capitol Dr, Milwaukee, WI 53206-3328 2008-09-13
1487144697 Outreach Community Health Centers, Inc. Clinic/Center 1027 N 9th St, Milwaukee, WI 53233-1411 2018-05-14
1245720499 Outreach Community Health Centers, Inc. Clinic/Center 1730 N 7th St, Milwaukee, WI 53205-1701 2018-05-14
1932357126 Outreach Community Health Centers, Inc. Public Health or Welfare 210 W Capitol Dr, Milwaukee, WI 53212-1123 2008-09-03

Office Location

Street Address 1730 S 13TH ST
City MILWAUKEE
State WI
Zip Code 53204-3201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508188764 Oleesa Shapowal Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2010-02-15
1336748516 Amber M Randle Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2020-10-20
1578117289 Nathalie R Guzman Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2019-07-31
1972022010 Christina M Morley Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2017-09-10
1437688132 Danielle Mari Demorrow Dentist 1730 S 13th St, Milwaukee, WI 53204-3201 2017-06-06
1811441009 Houa Lee Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2016-08-05
1609240472 Tia Dorsey Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2015-11-17
1124410154 Ashley Weber Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2015-02-27
1891183257 Tina Prentice Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2015-01-07
1215333166 Lindsey Moelter Dental Hygienist 1730 S 13th St, Milwaukee, WI 53204-3201 2014-11-04
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Providers in the same zip code

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
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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 city

NPI Name Taxonomy Address Enumeration
1942718762 Sixteenth Street Community Health Centers, Inc. Clinic/Center 2607 S 5th St, Milwaukee, WI 53207-1418 2018-01-15
1275056632 Outreach Community Health Centers, Inc. Clinic/Center 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 2017-07-18
1649559642 Sixteenth Street Community Health Centers, Inc. Clinic/Center 730 W Washington St., Milwaukee, WI 53204-2310 2011-08-08
1487144697 Outreach Community Health Centers, Inc. Clinic/Center 1027 N 9th St, Milwaukee, WI 53233-1411 2018-05-14
1245720499 Outreach Community Health Centers, Inc. Clinic/Center 1730 N 7th St, Milwaukee, WI 53205-1701 2018-05-14
1174910012 Sixteenth Street Community Health Centers, Inc Clinic/Center 1727 S 9th St, Milwaukee, WI 53204-3519 2015-04-17
1528304797 Sixteenth Street Community Health Center, Inc Clinic/Center 2906 S 20th St, Milwaukee, WI 53215-3732 2012-12-17
1316980709 Milwaukee Health Services, Inc. Clinic/Center 2555 N Martin Luther King Dr, Milwaukee, WI 53212-2709 2006-06-14
1891732244 Milwaukee Health Services Inc Clinic/Center 8200 W Silver Spring Dr, Attention: Tito Izard, M.d., Milwaukee, WI 53218-2552 2006-06-01

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
1659884716 The Lakes Community Health Center, Inc Clinic/Center 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 2017-11-13
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
1144593815 Sixteenth Street Community Health Centers Inc Clinic/Center 309 E North St., Waukesha, WI 53188 2012-02-10
1942595657 Kenosha Community Health Center, Inc. Clinic/Center 1330 52nd St, Suite 205, Kenosha, WI 53140-3236 2011-06-10
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Competitor

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City MILWAUKEE
Zip Code 53204

Improve Information

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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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