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Organization

PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

Active
Other names
12th Street Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CANDICE COLE (CFO)
(414) 935-8000
Entity
Organization

Contact information

Practice address
945 N 12TH ST, URGENT CARE, MILWAUKEE, WI 53233-1305
(414) 935-8000
(414) 344-3396
Mailing address
PO BOX 080257, MILWAUKEE, WI 53208-8004
(414) 935-8000
(414) 344-3396

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QU0200X
Urgent Care Clinic/Center
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/14/2015
Last updated
02/01/2017
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