NPIMap

Organization Active NPI

Outreach Community Health Centers, Inc.

Doing business as St. Bens Clinic

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
National Provider Identifier
1487144697
Registry record updated Nov 6, 2024
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
St. Bens Clinic
Practice address
1004 N 10TH St
Milwaukee, WI 53233-1423
Phone
(414) 727-6320
NPI assigned
May 14, 2018
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 Primary

Addresses

Primary practice location

1004 N 10TH St
Milwaukee, WI 53233-1423

Mailing address

220 W Capitol Dr
Milwaukee, WI 53212-1185
Phone (414) 964-9018

Other identifiers 1

IdentifierTypeStateIssuer
322956100MedicaidWI

Other names 1

  • St. Bens Clinic 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
O20180820001766 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 1487144697. Details of each certification follow.

Federally qualified health center certification: CCN 521867

Legal name
OUTREACH COMMUNITY HEALTH CENTERS INC
Doing business as
ST BENEDICT THE MOOR
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
PartnershipNon-profit
Enrollment address
1004 N 10TH St
Milwaukee, WI 53233-1423

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
Tax ID family
Outreach Community Health Centers Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1027 N 9th St
Milwaukee, WI 53233
Phone (414) 727-6315

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Outreach Community Health Centers Inc Organization, Milwaukee, WI Non-profit Operational/Managerial Control Jan 27, 2014
James W Hill Individual Corporate DirectorBoard Member Sep 1, 2004 5%
Jennifer Leino Individual W-2 Managing Employee May 4, 2021
Julia L Harris Robinson Individual Corporate OfficerCeo Aug 1, 2017 5%
Operational/Managerial Control Aug 1, 2017
Carla Y Cross Individual Corporate OfficerBoard Member/Treasurer Aug 1, 2012 5%
Lizabeth Marquardt Individual Corporate DirectorBoard Member Mar 1, 2018 5%
Suzanne G Schuler Individual Corporate DirectorBoard Member Jan 1, 2009 5%

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
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 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

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": "1730851200000",
    "number": "1487144697",
    "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": "414-964-9018",
            "fax_number": "414-727-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N 10TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331423",
            "telephone_number": "414-727-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322956100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Bens Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.