Organization
N.E.W. COMMUNITY CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SZERKINS MSA (CFO)
(920) 940-8088
Entity
Organization
Contact information
Practice address
610 N BROADWAY, GREEN BAY, WI 54303-3426
(920) 437-7206
Mailing address
622 BODART ST, GREEN BAY, WI 54301-4923
(920) 437-9773
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078454
—
WI
05
—
100078475
—
WI
05
—
100078554
—
WI
05
—
32957300
—
WI
05
—
41860101
—
WI
Enumeration date
04/12/2007
Last updated
08/21/2024
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