- Practice location
- 309 E North St, Waukesha, WI 53188-3718
- Phone
- 414-672-1353
- Fax
- 262-408-5094
- Last updated
- January 8, 2025
16TH Street Community Health Center INC. is a healthcare organization based in Waukesha, WI. 16TH Street Community Health Center INC. practices in Waukesha, WI. The NPI Number for 16TH Street Community Health Center INC. is 1144593815 and holds a License No. 1507-800 (WI). The current practice location address for 16TH Street Community Health Center INC. is 309 E North St, Waukesha, WI 53188-3718 and can be reached out via phone at 414-672-1353 and via fax at 262-408-5094.
Provider Profile Details
- NPI Number
- 1144593815
- Provider Name
- 16TH Street Community Health Center INC.
- Provider Entity Type
- Organization
- Address
- 309 E North St, Waukesha, WI 53188-3718
- Phone Number
- 414-672-1353
- Fax Number
- 262-408-5094
- Primary Taxonomy
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X
- Organization Subpart
- No
- Authorized Official
- Tanya M Stamps · Chief Financial Officer · 414-897-5407
- Other Names
- Sixteenth Street Community Health Centers (Doing Business As)
Sixteenth Street Community Health Center INC. (Former Legal Business Name)
16TH Street Community Health Center INC. (Doing Business As)
Sixteenth Street Community Health Centers INC (Other Name) - Provider Enumeration Date
- February 10, 2012
- Last Update Date
- January 8, 2025
- Certification Date
- January 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 309 E North St
Waukesha, WI 53188-3718 - City
- Waukesha
- State
- Wisconsin
- Zip
- 53188-3718
- Phone Number
- 414-672-1353
- Fax Number
- 262-408-5094
Provider Business Mailing Address Details
- Address
- Po Box 778789
Chicago, IL 60677-8789 - City
- Chicago
- State
- IL
- Zip
- 60677-8789
- Phone Number
- 414-672-1353
- Fax Number
- 262-408-5094
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Psychologist · 103T00000X
- Taxonomy (3)
- Social Worker · 104100000X
- Taxonomy (4)
- Family Medicine · 207Q00000X
- Taxonomy (5)
- Internal Medicine · 207R00000X
- Taxonomy (6)
- Obstetrics & Gynecology · 207V00000X
- Taxonomy (7)
- Pediatrics · 208000000X
- Taxonomy (8)
- Physical Therapist · 225100000X
- License Number (9)
- 1507-800
- License State (9)
- WI
- Taxonomy (9)
- Clinic/Center, Federally Qualified Health Center (FQHC) · 261QF0400X · Primary
- Taxonomy (10)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (11)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (12)
- Clinic/Center, Multi-Specialty · 261QM1300X
- Taxonomy (13)
- Physician Assistant · 363A00000X
- Taxonomy (14)
- Nurse Practitioner · 363L00000X
- Taxonomy (15)
- Advanced Practice Midwife · 367A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Federally Qualified Health Center (FQHC) providers near Waukesha, WI
View all Clinic/Center, Federally Qualified Health Center (FQHC) providers in Waukesha →Frequently Asked Questions
What is the NPI number of 16TH Street Community Health Center INC.?
The NPI number of 16TH Street Community Health Center INC. is 1144593815. It was assigned on February 10, 2012 and is currently active in the NPPES registry.
What is the specialty of 16TH Street Community Health Center INC.?
16TH Street Community Health Center INC. is registered under the primary taxonomy Clinic/Center, Federally Qualified Health Center (FQHC) (code 261QF0400X), licensed in WI under license number 1507-800.
Where does 16TH Street Community Health Center INC. practice?
The practice location is 309 E North St, Waukesha, WI 53188-3718. The office can be reached at 414-672-1353 (phone) or 262-408-5094 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144593815 directly on the NPPES registry website.