Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE B SCHULLER MD (CEO)
(414) 672-1353
Entity
Organization
Contact information
Practice address
2607 S 5TH ST, MILWAUKEE, WI 53207-1418
(414) 672-1353
(414) 672-4265
Mailing address
1337 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2712
(414) 897-5511
(414) 385-7552
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
01/15/2018
Last updated
04/11/2022
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