Organization
OUTREACH COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA THOMPSON (REVENUE CYCLE MANAGER)
(414) 727-6315
Entity
Organization
Contact information
Practice address
711 W CAPITOL DR, MILWAUKEE, WI 53206-3328
(414) 727-6315
Mailing address
711 W CAPITOL DR, MILWAUKEE, WI 53206-3328
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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