Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
Active
Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
Active
Other names
SSCHC Layton Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CECILIA S TAYLOR (CFO)
(414) 803-6395
Entity
Organization
Contact information
Practice address
4570 S 27TH ST, MILWAUKEE, WI 53221-2145
(414) 672-1353
(262) 408-5094
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
(262) 408-5094
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821517681
—
WI
Enumeration date
09/13/2017
Last updated
05/16/2023
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