Organization
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Active
Other names
Kilbourn Avenue Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE COLE (CFO)
(414) 935-8000
Entity
Organization
Contact information
Practice address
1218 W KILBOURN AVE, MILWAUKEE, WI 53233-1330
(414) 935-8000
(414) 344-3396
Mailing address
PO BOX 080257, MILWAUKEE, WI 53208-8004
(414) 935-8000
(414) 344-3396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
02/01/2017
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