SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC (NPI# 1528304797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528304797 |
| Entity Type | Organization |
| Organization Name | SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC |
| Practice Address |
2906 S 20th St Milwaukee WI 53215-3732 |
| Mailing Address |
1032 S Cesar E Chavez Dr Milwaukee WI 53204-2203 |
| Practice Telephone | 4146721353 |
| Mailing Telephone | 4146721353 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | MR. JOHN BARTKOWSKI (CEO) |
| Authorized Official Telephone | 4146721353 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
7950-123 | WI | Ambulatory Health Care Facilities |
| Street Address |
2906 S 20TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225871 | Emilia Isabel Arana | Pediatrics | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2005-06-17 |
| 1558976910 | Angela M Aviles-soto | Registered Nurse | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2020-09-12 |
| 1376161471 | Ivonne Rosado | Nurse Practitioner | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2020-07-06 |
| 1609426956 | Aja Nicole Aviles-soto | Advanced Practice Midwife | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2019-09-18 |
| 1720640329 | Sharais Alvarado | Counselor | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2019-07-03 |
| 1164994497 | Margaret E Gonzalez | Social Worker | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2018-12-27 |
| 1790276517 | Esmeralda Robelo Campos | Physician Assistant | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2018-05-29 |
| 1982194700 | Diane Colette Kothera | Dental Hygienist | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2018-05-16 |
| 1225549066 | Patricia Dequardo | Dental Hygienist | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2017-10-19 |
| 1144742750 | Anna M Guerrero | Nurse Practitioner | 2906 S 20th St, Milwaukee, WI 53215-3732 | 2017-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| 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 |
| 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.