16TH STREET COMMUNITY HEALTH CENTER INC. – NPI #1417912999
Clinic/Center

16TH STREET COMMUNITY HEALTH CENTER INC. is an AHC clinic located in MILWAUKEE, WI. NPPES has assigned the NPI number 1417912999 to 16TH STREET COMMUNITY HEALTH CENTER INC. on April 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 16TH STREET COMMUNITY HEALTH CENTER INC. is also known by the name SSCHC CHAVEZ CLINIC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 16TH STREET COMMUNITY HEALTH CENTER INC. below.

NPI Profile for
16TH STREET COMMUNITY HEALTH CENTER INC.

NPI Number
1417912999
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
16TH STREET COMMUNITY HEALTH CENTER INC.
Other Name: SSCHC CHAVEZ CLINIC
Other name(s)
All associated names:
Other Name
Sixteenth Street Community Health Center Inc
Other Name
SSCHC CHAVEZ CLINIC
Primary location
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203
Phone: (414) 672-1353 Fax:
Mailing address
PO BOX 778789
CHICAGO, IL 60677-8789
Phone: (414) 672-1353 Fax:
Organization Subpart
No
Authorized Official
MARIA CECILIA TAYLOR
CFO
Phone: (414) 803-6395
Updated
Certification Date
Oct 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for 16TH STREET COMMUNITY HEALTH CENTER INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI1417912999
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 WI
367A00000X
- Advanced Practice Midwife
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant		 WI
261QM1300X
- Clinic/Center / Multi-Specialty
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)
225100000X
- Physical Therapist
208000000X
- Pediatrics
207V00000X
- Obstetrics & Gynecology
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine
104100000X
- Social Worker
103T00000X
- Psychologist
101Y00000X
- Counselor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.