OUTREACH COMMUNITY HEALTH CENTERS, INC (NPI# 1609012020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609012020 |
| Entity Type | Organization |
| Organization Name | OUTREACH COMMUNITY HEALTH CENTERS, INC |
| Practice Address |
210 W Capitol Dr Family Services Clinic Milwaukee WI 53212 |
| Mailing Address |
210 W Capitol Dr Milwaukee WI 53212-1123 |
| Practice Telephone | 4147276320 |
| Mailing Telephone | 4147276320 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | LATASHA M THOMPSON (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 4149649018 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY SERVICES CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
WI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710032669 | Outreach Community Health Centers, Inc | Community/Behavioral Health | 210 W. Capitol Dr, Milwaukee, WI 53212 | 2007-01-23 |
| Street Address |
210 W CAPITOL DR FAMILY SERVICES CLINIC |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528029949 | Geoffrey A Scott | Family Medicine | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2006-03-28 |
| 1841815586 | Melissa St Antoine | Counselor | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2020-06-09 |
| 1639723711 | Amanda Marie Olivas | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-07-28 |
| 1851956882 | Juan Felipe Valencia | Dentist | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-05-06 |
| 1861057085 | Brent Norman Tollerud | Dentist | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-05-02 |
| 1235690280 | Benjamin Alan Klatt | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2019-03-30 |
| 1063983294 | Michelle Elaine Mckenna | Counselor | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-12-16 |
| 1811471253 | Kathryn D Kinter | Counselor | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-09-21 |
| 1760966170 | Michael Frank Potnek | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2018-09-20 |
| 1295247237 | Judy A Conti | Nurse Practitioner | 210 W Capitol Dr, Milwaukee, WI 53212-1123 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| 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.