NPIMap

Organization Active NPI

Outreach Community Health Centers, Inc.

Doing business as Salvation Army

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
National Provider Identifier
1245720499
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OUTREACH COMMUNITY HEALTH CENTERS, INC.
Doing business as
Salvation Army
Practice address
1730 N 7TH St
Milwaukee, WI 53205-1701
Phone
(414) 727-6315
NPI assigned
May 14, 2018
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Julia Harris Robinson
Title
Ceo
Phone
(414) 964-9016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1730 N 7TH St
Milwaukee, WI 53205-1701

Mailing address

220 W Capitol Dr
Milwaukee, WI 53212-1185
Phone (414) 727-6320

Other names 1

  • Salvation Army Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000704 WI Part B Supplier - Clinic/Group Practice 1355247735 Receives reassigned benefits from 90 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milwaukee, WI; Racine, WI
O20180820001839 WI Part A Provider - Federally Qualified Health Center (FQHC) 1355247735 Practice locations: Milwaukee, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245720499. Details of each certification follow.

Federally qualified health center certification: CCN 521866

Legal name
OUTREACH COMMUNITY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 30, 2018
Last certification
Aug 30, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1730 N 7TH St
Milwaukee, WI 53205-1701

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

220 W Capitol Dr
Glendale, WI 53212
Phone (414) 374-2400

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James W Hill Individual Corporate DirectorBoard Member Jan 1, 2004 5%
Jennifer Leino Individual Operational/Managerial ControlDirector, Revenue Cycle May 1, 2021
Julia L Harris Robinson Individual Corporate OfficerCeo Aug 1, 2017 5%
W-2 Managing EmployeeCeo Aug 1, 2017 5%
Carla Y Cross Individual Corporate OfficerBoard Chair Jul 25, 2012 5%
Lizabeth Marquardt Individual Corporate DirectorBoard Member Jan 1, 2017 5%
Suzanne G Schuler Individual Corporate DirectorBoard Member Jan 1, 2009 5%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Benedict the MoorMilwaukee, WI, CCN 521867 Federally qualified health center Operational/Managerial Control Jan 27, 2014
Racine Outreach Community Health Centers IncRacine, WI, CCN 521057 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 25, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1245720499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121185",
            "telephone_number": "414-727-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 N 7TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051701",
            "telephone_number": "414-727-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "HARRIS ROBINSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-964-9016"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salvation Army",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.