| NPI Details | |
|---|---|
| NPI | 1083679385 |
| Enumeration Date | 04/19/2006 |
| Last Updated | 10/30/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | JOHN JOHN |
| Position | CEO |
| Phone | (414) 672-1353 |
| Fax | (414) 672-4265 |
| Practice Location | |
|---|---|
| 2906 S 20TH ST MILWAUKEE WI, 53215-3732, US |
|
| Phone | (414) 672-1353 |
| Fax | (414) 672-4265 |
| Business Location | |
|---|---|
| 2906 S 20TH ST MILWAUKEE WI, 53215-3732, US |
|
| Phone | (414) 672-1353 |
| Fax | (414) 672-4265 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225X00000X |
| License State | |
| License Number | |
| Remove 1083679385 NPI Number | |
According to our database, 16th Street Community Health Center Inc. NPI is 1083679385, taxonomy code is 225X00000X 16th Street Community Health Center Inc. physically located at 2906 S 20th St, Milwaukee WI, 53215-3732. NPI Number 1033115704 has the healthcare provider type.
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1083679385 NPI number is provided on an as is basis without warranty of any kind. 1083679385 is maintained by the National Plan & Provider Enumeration System. The contents of 16th Street Community Health Center Inc. are for informational purposes only.
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