# SIXTEEN STREET COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waukesha Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801229653
- **Authorized official:** DR. JULIE SCHULLER MD, MBA,FACP (CLINICAL VICE PRESIDENT)
- **Authorized official phone:** (414) 672-1353

## Contact information

- **Practice address:** 1337 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2712
- **Practice address phone:** (414) 672-1354
- **Mailing address:** 309 E NORTH ST, WAUKESHA, WI 53188-3718
- **Mailing address phone:** (262) 408-2530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1513-226 | WI | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 08/15/2013