| Sixteenth Street Community Health Centers, Inc. | |
|
4570 S 27th St Milwaukee WI 53221-2145 | |
| (414) 672-1353 | |
| (262) 408-5094 |
| Full Name | Sixteenth Street Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4570 S 27th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Maria Cecilia S Taylor (CFO) |
| Authorized Official Contact | 4148036395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sixteenth Street Community Health Centers, Inc. Po Box 778789 Chicago IL 60677-8789 Ph: (414) 672-1353 | Sixteenth Street Community Health Centers, Inc. 4570 S 27th St Milwaukee WI 53221-2145 Ph: (414) 672-1353 |
| NPI Number | 1821517681 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 6709876857 |
|---|---|
| Medicare Enrollment ID | O20180626002411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821517681 | NPI | - | NPPES |
| 1821517681 | Medicaid | WI |
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