Organization
OUTREACH COMMUNITY HEALTH CENTERS, INC
Active
Parent organization
FAMILY SERVICES CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY SERVICES CLINIC
Authorized official
LATASHA M THOMPSON (REVENUE CYCLE MANAGER)
(414) 964-9018
Entity
Organization
Contact information
Practice address
210 W CAPITOL DR, FAMILY SERVICES CLINIC, MILWAUKEE, WI 53212
(414) 727-6320
Mailing address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WI
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
01/07/2009
Last updated
08/28/2018
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