Organization
OUTREACH COMMUNITY HEALTH CENTERS, INC.
Active
Other names
St. Bens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA HARRIS ROBINSON (CEO)
(414) 964-9016
Entity
Organization
Contact information
Practice address
1004 N 10TH ST, MILWAUKEE, WI 53233-1423
(414) 727-6320
Mailing address
220 W CAPITOL DR, MILWAUKEE, WI 53212-1185
(414) 964-9018
(414) 727-6320
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322956100
—
WI
Enumeration date
05/14/2018
Last updated
11/06/2024
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