Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER
Active
Other names
SSCHC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CECILIA S TAYLOR FACHE,MBA (CFO)
(414) 897-5407
Entity
Organization
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-9190
Mailing address
1337 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2712
(414) 672-6220
(414) 672-0191
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44000500
—
WI
Enumeration date
08/27/2008
Last updated
04/11/2022
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