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NPI Code Detail

MEDICARE: OUTREACH COMMUNITY HEALTH CENTERS, INC

MEDICARE: OUTREACH COMMUNITY HEALTH CENTERS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency
2251S00000XCommunity/Behavioral Health Agency2246WI
3261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1710032669
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUTREACH COMMUNITY HEALTH CENTERS, INC
Provider Business Mailing Address
First Line : 220 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-1185
Country : US
Telephone Number : 414-374-2400
Fax Number : 414-374-7903
Provider Business Practice Location Address
First Line : 220 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-1185
Country : US
Telephone Number : 414-906-1943
Fax Number : 414-727-6328
Authorized Official
Title or Position : CEO
Name : JULIA HARRIS ROBINSON
Credential :
Telephone Number : 414-964-9016
Provider Enumeration Date : 01/23/2007
Last Update Date : 10/05/2023

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Practice Location Address:
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53212-1185
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Practice Fax:
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1710286729 — HEALTH CARE FOR THE HOMELESS MILWAUKEE INC
Practice Location Address:
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MILWAUKEE, WI
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Practice Location Address:
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53212-1185
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1689015810 — MR. ZACHARY BRUNS M.S.
Practice Location Address:
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Directions to “OUTREACH COMMUNITY HEALTH CENTERS, INC ” Practice Location

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