CENTRAL MEDICAL CLINIC, S.C (NPI# 1235434366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235434366 |
| Entity Type | Organization |
| Organization Name | CENTRAL MEDICAL CLINIC, S.C |
| Practice Address |
6001 W Center St Suite 104 Milwaukee WI 53210-2154 |
| Practice Telephone | 4144478499 |
| Practice Fax Number | 4147631674 |
| Mailing Telephone | 4144478499 |
| Mailing Fax Number | 4147631674 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-03-18 |
| Authorized Official Name | DR. GEOFFREY NKWAZI (PRESIDENT) |
| Authorized Official Telephone | 4144478499 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
6001 W CENTER ST SUITE 104 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770555401 | William Bernard Kelley | Specialist | 6001 W Center St, Suite #108, Milwaukee, WI 53210-2154 | 2006-02-06 |
| 1457903759 | Cornelius Smith | Counselor | 6001 W Center St, Milwaukee, WI 53210-2154 | 2019-07-16 |
| 1609434471 | Antoinette Davis | Social Worker | 6001 W Center St, Milwaukee, WI 53210-2154 | 2019-06-05 |
| 1144885609 | Rosezina Campbell | Student in an Organized Health Care Education/Training Program | 6001 W Center St, Milwaukee, WI 53210-2154 | 2019-05-09 |
| 1174187082 | Julia B Richard | Student in an Organized Health Care Education/Training Program | 6001 W Center St, Milwaukee, WI 53210-2154 | 2019-04-25 |
| 1366903320 | Lawanda Chambers | Counselor | 6001 W Center St, Milwaukee, WI 53210-2154 | 2019-03-30 |
| 1407393895 | Here To There Transportation LLC | Non-emergency Medical Transport (VAN) | 6001 W Center St, Suite 202, Milwaukee, WI 53210-2154 | 2017-01-24 |
| 1770946360 | Best Foot and Ankle Care LLC | Podiatrist | 6001 W Center St, Suite 108, Milwaukee, WI 53210-2154 | 2016-03-31 |
| 1295103463 | Life Enhancement Supportive Services Community Assistance | Case Management | 6001 W Center St, 201, Milwaukee, WI 53210-2154 | 2015-09-04 |
| 1821318023 | Shalom Health Center, Sc | Pediatrics | 6001 W Center St, Suite 200, Milwaukee, WI 53210-2154 | 2010-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589082 | Domanika Morbley | Clinic/Center | 2544 N 11th St, Milwaukee, WI 53206-3127 | 2020-08-18 |
| 1427674860 | Shanice Williams | Clinic/Center | 3950 N 74th St, Milwaukee, WI 53216-1971 | 2020-06-22 |
| 1003276841 | Mobile Medical Diagnostic Services LLC | Clinic/Center | 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 | 2016-03-04 |
| 1821458811 | Kutaiba Al Ithawi | Clinic/Center | 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 | 2016-03-03 |
| 1518260843 | City of Milwaukee Health Dept | Clinic/Center | 841 N Broadway 3rd Floor, Milwaukee, WI 53202-3639 | 2010-12-08 |
| 1992035869 | Clear Medical Solutions, LLC | Clinic/Center | 1305 N 19th St, Milwaukee, WI 53205-2054 | 2009-12-28 |
| 1114176195 | Concentra Health Services, Inc. | Clinic/Center | 5007 S. Howell Avenue, Milwaukee, WI 53207-6157 | 2008-09-15 |
| 1386774958 | City of Milwaukee Health Department | Clinic/Center | 841 N Broadway Fl 3, Milwaukee, WI 53202-3639 | 2007-03-06 |
| 1144796988 | St Ann Center for Intergenerational Care Inc | Clinic/Center | 2450 W North Ave, Milwaukee, WI 53205-1001 | 2018-10-19 |
| 1841739026 | Helens Supportive Living | Clinic/Center | 6222 W Capitol Dr Suite 10, Milwaukee, WI 53216 | 2017-02-21 |
| 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.