| Mlk Heritage Health Center | |
|
2555 N Martin Luther King Dr Milwaukee WI 53212-2709 | |
| (414) 267-2021 | |
| (414) 372-7420 |
| Full Name | Mlk Heritage Health Center |
|---|---|
| Speciality | Pharmacy |
| Location | 2555 N Martin Luther King Dr, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Tito L Izard (PRESIDENT CEO) |
| Authorized Official Contact | 4142672021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlk Heritage Health Center 2555 N Martin Luther King Dr Milwaukee WI 53212-2709 Ph: (414) 267-2021 | Mlk Heritage Health Center 2555 N Martin Luther King Dr Milwaukee WI 53212-2709 Ph: (414) 267-2021 |
| NPI Number | 1316980709 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 04/05/2016 |
| Medicare PECOS PAC ID | 7416946884 |
|---|---|
| Medicare Enrollment ID | O20060823000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316980709 | NPI | - | NPPES |
| 32958200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 333600000X | Pharmacy | 8681-42 (Wisconsin) | Primary |
Community Based Residential Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 W Burleigh St, Milwaukee, WI 53210 Phone: 414-445-3607 Fax: 414-445-6575 | |
Healing Center Of Milwaukee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 W Forest Home Ave, Milwaukee, WI 53220 Phone: 414-323-3513 | |
Muhammad Akbar Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-365-3210 Fax: 414-365-3225 | |
La Clinica Latina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1238 S Cesar E Chavez Dr, Milwaukee, WI 53204 Phone: 414-645-6666 Fax: 414-645-6732 | |
Medzone Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7115 W Capitol Dr, Milwaukee, WI 53216 Phone: 414-395-0009 | |
Jeremias B. Vinluan M.d. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 N 35th St, Suite 204, Milwaukee, WI 53208 Phone: 414-342-2606 Fax: 414-342-0789 | |
Romeo C Lo Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 Phone: 414-383-4700 Fax: 414-383-4759 |