MEDICARE: PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	207V00000X	Obstetrics & Gynecology Physician
4	208000000X	Pediatrics Physician
5	1041C0700X	Clinical Social Worker
6	124Q00000X	Dental Hygienist
7	122300000X	Dentist
8	363LF0000X	Family Nurse Practitioner
9	2084P0800X	Psychiatry Physician
10	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720153653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 080257
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-8004
Country	:	US
Telephone Number	:	414-935-8000
Fax Number	:	414-755-0058

Provider Business Practice Location Address
First Line	:	3522 W LISBON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1953
Country	:	US
Telephone Number	:	414-935-8000
Fax Number	:	414-344-3396

Authorized Official
Title or Position	:	CFO
Name	:	CANDICE COLE
Credential	:
Telephone Number	:	414-935-8000

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	01/25/2017

Similar Medicare Providers

1245221977 — DR. RANDY R CIEPLUCH DDS
Practice Location Address:

3500 W LISBON AVE
MILWAUKEE, WI
53208-1953

Practice Phone: 414-342-0378
Practice Fax: 414-342-1008

1043483357 — RANDY R CIEPLUCH
Practice Location Address:

3500 W LISBON AVE
MILWAUKEE, WI
53208-1953

Practice Phone: 414-342-0378
Practice Fax: 414-342-1008

1245490127 — WESTSIDE HEALTHCARE ASSOCIATION INC
Practice Location Address:

3522 W LISBON AVE
MILWAUKEE, WI
53208-1953

Practice Phone: 414-935-8000
Practice Fax: 414-755-0058

1508129545 — RAMNEET BHATHAL M.D.
Practice Location Address:

3522 W LISBON AVE
MILWAUKEE, WI
53208-1953

Practice Phone: 414-935-8000
Practice Fax: 414-344-3396

1003163460 — RABANY CLAYBORN NP-C
Practice Location Address:

3522 W LISBON AVE
MILWAUKEE, WI
53208-1953

Practice Phone: 414-935-8000
Practice Fax:

1780926188 — BRINTHA F VASAGAR MD, MPH
Practice Location Address:

3522 W LISBON AVE
MILWAUKEE, WI
53208-1953

Practice Phone: 414-935-8000
Practice Fax: 414-344-3350

Directions to “PROGRESSIVE COMMUNITY HEALTH CENTERS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.