Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER INC
Active
Parent organization
SIXTEENTH STREET COMMUNITY HEALTH CENTERS
Other names
Sixteenth Street Community Health Centers, Lincoln Avenue School
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIXTEENTH STREET COMMUNITY HEALTH CENTERS
Authorized official
TANYA M STAMPS (CHIEF FINANCIAL OFFICER)
(414) 897-5407
Entity
Organization
Contact information
Practice address
1817 W LINCOLN AVE, MILWAUKEE, WI 53215-2691
(414) 672-1353
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
04/12/2022
Last updated
01/08/2025
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