PROGRESSIVE COMMUNITY HEALTH CENTERS, INC (NPI# 1376851311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376851311 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE COMMUNITY HEALTH CENTERS, INC |
| Other Organization Name | HILLSIDE FAMILY PRACTICE |
| Practice Address |
1452 N 7th St 2nd Floor Milwaukee WI 53205-2301 |
| Mailing Address |
Po Box 080257 Milwaukee WI 53208-8004 |
| Practice Telephone | 4149358000 |
| Mailing Telephone | 4149358000 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | MRS. CANDICE COLE (CFO) |
| Authorized Official Telephone | 4149358000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32957400 | 05 |
| Other Name | Type Code |
|---|---|
| Hillside Family Practice | Other Name - Individual/Organization |
| Street Address |
1452 N 7TH ST 2ND FLOOR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53205-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861555187 | Sofia L. Thorn | Social Worker | 1452 N 7th St, Second Floor, Milwaukee, WI 53205-2301 | 2006-12-18 |
| 1275740862 | Kathlyn Adrian Albert | Nurse Practitioner | 1452 N 7th St, 3rd Floor, Milwaukee, WI 53205-2301 | 2007-05-16 |
| 1750400735 | Marquette University | Clinic/Center | 1452 N 7th St, 3rd Floor, Milwaukee, WI 53205-2301 | 2007-03-28 |
| 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 |
| 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 |
| 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.