Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Active
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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