Organization
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Active
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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