OUTREACH COMMUNITY HEALTH CENTERS, INC. (NPI# 1245720499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245720499 |
Entity Type | Organization |
Organization Name | OUTREACH COMMUNITY HEALTH CENTERS, INC. |
Other Organization Name | SALVATION ARMY |
Practice Address |
1730 N 7th St Milwaukee WI 53205-1701 |
Mailing Address |
711 W Capitol Dr Milwaukee WI 53206-3328 |
Practice Telephone | 4147276315 |
Mailing Telephone | 4149649018 |
Enumeration Date | 2018-05-14 |
Last Update Date | 2018-06-16 |
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) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Salvation Army | Doing Business As Name - 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 |
1205318102 | Outreach Community Health Centers, Inc. | Clinic/Center | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2018-09-06 |
1487144697 | Outreach Community Health Centers, Inc. | Clinic/Center | 1027 N 9th St, Milwaukee, WI 53233-1411 | 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 N 7TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53205-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265427322 | Patrice Ann Bartelme | Nurse Practitioner | 1730 N 7th St, Milwaukee, WI 53205-1701 | 2005-09-14 |
1801360730 | Laurie Lynn Nelson | Counselor | 1730 N 7th St, Milwaukee, WI 53205-1701 | 2019-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
1821596909 | Robert Leland Goodman | Counselor | 1134 W. North Ave, Second Floor, Milwaukee, WI 53205 | 2018-01-24 |
1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
1841667466 | St. Ann Center for Intergenerational Care | Public Health or Welfare | 2450 W North Ave, Milwaukee, WI 53205 | 2015-08-31 |
1407252646 | Abdelrahman H. Alarga | Pharmacist | 1919 W North Ave., Milwaukee, WI 53205 | 2014-11-17 |
1679981328 | Life Changing Ministries Substance Abuse Services | Clinic/Center | 1134 W North Ave 2nd Floor, Milwaukee, WI 53205 | 2014-07-25 |
1891031969 | Robin Michelle Benjamin | Licensed Practical Nurse | 1536 N 20th, Mil., WI 53205 | 2012-12-18 |
1275712937 | Bruce G Hartwell | Dentist | 901 W Winnebago St, Suite Ll-01, Milwaukee, WI 53205 | 2007-10-30 |
1407978521 | Westside Healthcare Association, Inc | Clinic/Center | 1452 N. 7th Street, Milwaukee, WI 53205 | 2007-04-06 |
1740316181 | Neville Winston Duncan | Family Medicine | 1134 W North Ave Fl 2, Milwaukee, WI 53205 | 2007-02-27 |
Find all providers in zip 53205 |
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 |
1205318102 | Outreach Community Health Centers, Inc. | Clinic/Center | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2018-09-06 |
1487144697 | Outreach Community Health Centers, Inc. | Clinic/Center | 1027 N 9th St, Milwaukee, WI 53233-1411 | 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.