NPIMap

16TH Street Community Health Center Inc.

A Medicare group practice based in Milwaukee, WI: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 6709876857), with 161 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6709876857The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
6
Group size
83 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040512001352 WI Part B Supplier - Clinic/Group Practice 1417912999
O20061207000320 WI Part A Provider - Federally Qualified Health Center (FQHC) 1417912999
O20061110000286 WI Part A Provider - Federally Qualified Health Center (FQHC) 1518092410
O20120104000532 WI Part A Provider - Federally Qualified Health Center (FQHC) 1649559642
O20180626002411 WI Part A Provider - Federally Qualified Health Center (FQHC) 1821517681
O20121212000285 WI Part A Provider - Federally Qualified Health Center (FQHC) 1144593815

NPIs in this group 7

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 161

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (160) or whom Care Compare lists as members (83).

Sources for this page