Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC
Active
Parent organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Other names
Cristo Rey SSCHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Authorized official
MARIA CECILIA S TAYLOR FACHE, MBA (CFO)
(414) 897-5407
Entity
Organization
Contact information
Practice address
1818 W NATIONAL AVE, MILWAUKEE, WI 53204-1118
(414) 672-1353
Mailing address
1337 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2712
(414) 897-5511
(414) 672-0191
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
04/11/2022
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