NPIMap

Organization Active NPI

Sixteen Street Community Health Center

  • Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1801229653
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1513-226 Issued in WI
Legal business name
SIXTEEN STREET COMMUNITY HEALTH CENTER
Doing business as
Waukesha Community Health Center
Practice address
1337 S Cesar E Chavez Dr
Milwaukee, WI 53204-2712
Phone
(414) 672-1354
NPI assigned
Aug 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Dr. Julie Schuller, MD, MBA,FACPNPI 1184620528
Title
Clinical Vice President
Phone
(414) 672-1353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1513-226 WI Primary

Addresses

Primary practice location

1337 S Cesar E Chavez Dr
Milwaukee, WI 53204-2712

Mailing address

309 E North St
Waukesha, WI 53188-3718
Phone (262) 408-2530

Other names 1

  • Waukesha Community Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sixteenth St Com HLTH C33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

1337 S Cesar E Chavez Dr
Milwaukee, WI 53204
Phone (414) 672-1354

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1801229653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E NORTH ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883718",
            "telephone_number": "262-408-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S CESAR E CHAVEZ DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042712",
            "telephone_number": "414-672-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTEEN STREET COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CLINICAL VICE PRESIDENT",
        "authorized_official_telephone_number": "414-672-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA,FACP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "1513-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waukesha Community Health Center",
            "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 Aug 15, 2013; 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.