SAINT GABRIEL;S CHURCH O GOD IN CHRIST


Address: 5375 N 37th St, Milwaukee, WI 53209-4729
Phone: 4147956397

SAINT GABRIEL;S CHURCH O GOD IN CHRIST (NPI# 1336505544) 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) 1336505544
Entity Type Organization
Organization Name SAINT GABRIEL;S CHURCH O GOD IN CHRIST
Practice Address 5375 N 37th St
Milwaukee
WI 53209-4729
Mailing Address 5600 N Stanton Dr
Glendale
WI 53209-4341
Practice Telephone 4147956397
Practice Fax Number 4145782862
Mailing Telephone 4147956397
Mailing Fax Number 4145782862
Enumeration Date 2016-01-05
Last Update Date 2016-01-05
Authorized Official Name MR. LEE A. SHAW (ADMINISTRATOR)
Authorized Official Telephone 4147956397
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Office Location

Street Address 5375 N 37TH ST
City MILWAUKEE
State WI
Zip Code 53209-4729

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1891248340 Amy L May Nurse Practitioner 3303 W Good Hope Rd, Milwaukee, WI 53209 2016-08-02
1871980193 Alan R Rosenthal Pharmacist 6930 N Beech Tree Dr, Milwaukee, WI 53209 2015-04-24
1104212380 Reema Shah Student in an Organized Health Care Education/Training Program 2400 W. Villard Ave, Milwaukee, WI 53209 2015-04-14
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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1417571050 Kaak Living Clinic/Center 5938 N 76th Street, Milwaukee, WI 53218 2020-05-29
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1396396701 Karen Sumlin-gray Clinic/Center 9183 N 76th St, Milwaukee, WI 53223-1905 2019-09-26
1972153187 Bethesda Community Senior Center Inc Clinic/Center 2845 W Fond Du Lac Ave, Milwaukee, WI 53210-2628 2019-09-19
1891347852 Tswv Chao Vang Center LLC Clinic/Center 11010 W Hampton Ave, Milwaukee, WI 53225-3821 2019-07-10
1972069003 Angel Hearts Adult Care Center Clinic/Center 6661 W Mill Rd, Milwaukee, WI 53218-1238 2019-02-13
1437629979 Guardian Angels Adult Day Services Clinic/Center 6816 W Brown Deer Rd, Milwaukee, WI 53223-2102 2018-11-27
1528568102 New Hope Adult Community Center Clinic/Center 2433 W Roosevelt Dr, Milwaukee, WI 53209-6640 2018-02-20
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Competitor

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City MILWAUKEE
Zip Code 53209

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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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