Organization Active NPI

Black Health Coalition of Wisconsin

  • Case Management Agency
  • Milwaukee, WI
National Provider Identifier
1659634350
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BLACK HEALTH COALITION OF WISCONSIN
Practice address
3020 W Vliet St
Milwaukee, WI 53208-2461
Phone
(414) 933-0064
Fax
(414) 933-0084
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Patricia McManus, PH.D., RN
Title
President/Ceo
Phone
(414) 933-0064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3020 W Vliet St
Milwaukee, WI 53208-2461

Mailing address

3020 W Vliet St
Milwaukee, WI 53208-2461
Phone (414) 933-0064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1659634350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082461",
            "telephone_number": "414-933-0064",
            "fax_number": "414-933-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082461",
            "telephone_number": "414-933-0064",
            "fax_number": "414-933-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HEALTH COALITION OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "414-933-0064",
        "authorized_official_credential": "PH.D., RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 4, 2012; 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.