Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER INC.
Active
Other names
Sixteenth Street Community Health Centers, Sixteenth Street Community Health Centers Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA M STAMPS (CHIEF FINANCIAL OFFICER)
(414) 897-5407
Entity
Organization
Contact information
Practice address
309 E NORTH ST, WAUKESHA, WI 53188-3718
(414) 672-1353
Mailing address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
(414) 672-4265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32958300
—
WI
Enumeration date
04/19/2006
Last updated
01/08/2025
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