Lisbon Avenue Health Center
LBN: Progressive Community Health Centers, Inc.
Lisbon Avenue Health Center is an health care organization with primary practice located at 3522 W Lisbon Ave , Milwaukee WI 53208-1953. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Dental Providers / Dental Hygienist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. 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
3522 W Lisbon Ave
Milwaukee WI 53208-1953
Phone: (414) 935-8000
Fax: (414) 344-3396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Dental Hygienist | 124Q00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1720153653 |
|---|---|
| LBN Legal business name | Progressive Community Health Centers, Inc. |
| DBA Doing business as | Lisbon Avenue Health Center |
| Authorized official | Cole, Candice |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 24th, 2006 |
| 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 | 1720153653 | NPPES |
| Wisconsin | MEDICAID | 32957400 |
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