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Organization

SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN BARTKOWSKI PHD (CEO)
(414) 672-1353
Entity
Organization

Contact information

Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7950-123
WI

Other

Enumeration date
12/17/2012
Last updated
12/17/2012
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