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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

General Provider Information

NPI Number : 1942459094
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 :
Provider Business Practice Location Address
First Line : 220 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-1185
Country : US
Telephone Number : 414-374-2400
Fax Number :
Authorized Official
Title or Position : CEO
Name : JULIA HARRIS ROBINSON
Credential :
Telephone Number : 414-964-9012
Provider Enumeration Date : 09/13/2008
Last Update Date : 02/03/2026

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