Sschc Chavez Dental
LBN: Sixteenth Street Community Health Centers, Inc.
Sschc Chavez Dental is an health care organization with primary practice located at 1032 S Cesar E Chavez Dr , Milwaukee WI 53204-2203. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Sixteenth Street Community Health Centers, Inc. can be contacted via phone (414) 672-1353, or through Taylor, Maria Cecilia S via phone (414) 803-6395.
Contact Information
Primary practice address
1032 S Cesar E Chavez Dr
Milwaukee WI 53204-2203
Phone: (414) 672-1353
Fax: (262) 408-5094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Dental Hygienist | 124Q00000X | ||
| Dental Providers / Dental Assistant | 126800000X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1841255577 |
|---|---|
| LBN Legal business name | Sixteenth Street Community Health Centers, Inc. |
| DBA Doing business as | Sschc Chavez Dental |
| Authorized official | Taylor, Maria Cecilia S |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | May 3rd, 2023 - about last year |
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 | 1841255577 | NPPES |
| Wisconsin | MEDICAID | 1841255577 |
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