Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Active
Parent organization
16TH STREET COMMUNITY HEALTH CENTER, INC
Other names
Nativity Jesuit Academy
Organization subpart
Yes
Provider details
NPI number
Legal business name
16TH STREET COMMUNITY HEALTH CENTER, INC
Authorized official
TANYA M STAMPS (CHIEF FINANCIAL OFFICER)
(414) 897-5407
Entity
Organization
Contact information
Practice address
1515 S 29TH ST, MILWAUKEE, WI 53215-1912
(414) 672-1353
(414) 672-0191
Mailing address
PO BOX 778789, CHICAGO, IL 60677-0001
(414) 672-1353
(414) 672-0191
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
01/08/2025
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