Sixteenth Street Community Health Center, INC

NPI #1023752045 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1023752045
Entity Type: Organization
Organization Name: Sixteenth Street Community Health Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: 16TH STREET COMMUNITY HEALTH CENTER, INC
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Apr 26, 2022
Last Updated: Jan 8, 2025

Practice Location

Address: 1515 S 29TH ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53215-1912
Phone: (414) 672-1353

Authorized Official

Name: TANYA M STAMPS
Title: CHIEF FINANCIAL OFFICER
Phone: (414) 897-5407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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