16Th Street Community Health Center, Inc
LBN: 16Th Street Community Health Center, Inc
16Th Street Community Health Center, Inc is an health care organization with primary practice located at 2906 S 20Th Street , Milwaukee WI 53215. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
16Th Street Community Health Center, Inc can be contacted via phone (414) 672-3145, or through Bartkowski, John via phone (414) 672-3145.
Contact Information
Primary practice address
2906 S 20Th Street
Milwaukee WI 53215
Phone: (414) 672-3145
Fax: (414) 383-5597
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1023228814 |
---|---|
LBN Legal business name | 16Th Street Community Health Center, Inc |
DBA Doing business as | |
Authorized official | Bartkowski, John |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 23rd, 2007 |
Last updated | Mar 18th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023228814 | NPPES |
Wisconsin | MEDICAID | 42205500 |
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