| 16th Street Community Health Center, Inc | |
|
2906 S 20th Street Milwaukee WI 53215 | |
| (414) 672-3145 | |
| (414) 383-5597 |
| Full Name | 16th Street Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2906 S 20th Street, Milwaukee, Wisconsin |
| Authorized Official Name and Position | John Bartkowski (CEO) |
| Authorized Official Contact | 4146723145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 16th Street Community Health Center, Inc 1032 S 16th St Suite 219 Milwaukee WI 53204 Ph: (414) 672-3145 | 16th Street Community Health Center, Inc 2906 S 20th Street Milwaukee WI 53215 Ph: (414) 672-3145 |
| NPI Number | 1023228814 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 03/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023228814 | NPI | - | NPPES |
| 42205500 | Medicaid | WI |
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