Hillside Family Practice
LBN: Progressive Community Health Centers, Inc
Hillside Family Practice is an health care organization with primary practice located at 1452 N 7Th St 2Nd Floor, Milwaukee WI 53205-2301. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Progressive Community Health Centers, Inc can be contacted via phone (414) 935-8000, or through Cole, Candice via phone (414) 935-8000.
Contact Information
Primary practice address
1452 N 7Th St 2Nd Floor
Milwaukee WI 53205-2301
Phone: (414) 935-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1376851311 |
|---|---|
| LBN Legal business name | Progressive Community Health Centers, Inc |
| DBA Doing business as | Hillside Family Practice |
| Authorized official | Cole, Candice |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2010 |
| Last updated | Jan 25th, 2017 - about 7 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 | 1376851311 | NPPES |
| Wisconsin | MEDICAID | 32957400 |
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