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).
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 |
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 Name | Type Code |
---|---|
ST ELIZABETH ANN SETON DENTAL CLINIC | Other Name - Individual/Organization |
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 |
Street Address |
1730 S 13TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53204-3201 |
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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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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
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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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.