Organization
16TH STREET COMMUNITY HEALTH CENTER INC.
Active
Other names
Sixteenth Street Community Health Center Inc., Sixteenth Street Community Health Centers Inc, Sixteenth Street Community Health Centers, 16th Street Community Health Center 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
(262) 408-5094
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
(262) 408-5094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1507-800
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024527
—
WI
05
—
1144593815
—
WI
Enumeration date
02/10/2012
Last updated
01/08/2025
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