NPIMap

Organization Active NPI

St Ann Center for Intergenerational Care Inc

Doing business as St. Ann Center Medical Clinic - Bucyrus

  • Health Service Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1144796988
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ST ANN CENTER FOR INTERGENERATIONAL CARE INC
Doing business as
St. Ann Center Medical Clinic - Bucyrus
Practice address
2450 W North Ave
Milwaukee, WI 53205-1001
Phone
(414) 210-2450
Fax
(414) 210-2434
NPI assigned
Oct 19, 2018
Organization subpart
Yes
Parent organization
ST ANN CENTER FOR INTERGENERATIONAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Temidayo I Akande
Title
Cfo
Phone
(414) 977-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2450 W North Ave
Milwaukee, WI 53205-1001

Mailing address

2450 W North Ave
Milwaukee, WI 53205-1001
Phone (414) 210-2450

Other names 1

  • St. Ann Center Medical Clinic - Bucyrus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Ann Ctr Fam SPPT Cli3 organizations share this tax ID, including this one
Part of
St Ann Ctr Fam SPPT Cli

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1144796988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051001",
            "telephone_number": "414-210-2450",
            "fax_number": "414-210-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051001",
            "telephone_number": "414-210-2450",
            "fax_number": "414-210-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANN CENTER FOR INTERGENERATIONAL CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ANN CENTER FOR INTERGENERATIONAL CARE INC",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "AKANDE",
        "authorized_official_first_name": "TEMIDAYO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-977-5004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Ann Center Medical Clinic - Bucyrus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.