NPIMap

Organization Active NPI

Outreach Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Racine, WI
National Provider Identifier
1801769815
Registry record updated Jan 26, 2026
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
Practice address
3805B Spring Street
140
Racine, WI 53405-1642
Phone
(414) 727-6320
Fax
(414) 727-6328
NPI assigned
Sep 25, 2025
Organization subpart
Yes
Parent organization
OUTREACH COMMUNITY HEALTH CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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) 964-9012

Specialties & licenses 1

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

Addresses

Primary practice location

3805B Spring Street
140
Racine, WI 53405-1642

Mailing address

3805B Spring St Ste 140
Mount Pleasant, WI 53405-1642
Phone (414) 727-6320

Other names 1

  • Racine Outreach Community Health Center 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
O20251229000651 WI Part A Provider - Federally Qualified Health Center (FQHC) 1355247735 Practice locations: Racine, WI

Federally qualified health center certification: CCN 521057

Legal name
OUTREACH COMMUNITY HEALTH CENTERS INC
Doing business as
RACINE OUTREACH COMMUNITY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 18, 2025
Last certification
Dec 18, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
3805B Spring Street
Ste 140
Racine, WI 53405-1642

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2332263Racine Outreach Community Health Center3805B Spring Street, Racine, WI 53405Provider-performed microscopyOct 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Outreach Community Health Centers Inc14 organizations share this tax ID, including this one
Part of
Outreach Community Health Centers Inc

Other organizations with this tax ID 13

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

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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 5% Or Greater Direct Ownership Interest Sep 25, 2025
Brentell Handley Individual Corporate Director Sep 25, 2025
Mary Hendrickson Individual Corporate Director Sep 25, 2025
James W Hill Individual Corporate Director Sep 25, 2025
Jennifer Leino Individual Corporate Director Sep 25, 2025
W-2 Managing EmployeeRevenue Cycle Director Sep 25, 2025
Glenn Mathews Individual Corporate Director Sep 25, 2025
Lo Neng Kiatoukaysy Individual Corporate Director Sep 25, 2025
Julia L Harris Robinson Individual Corporate OfficerCeo Sep 25, 2025
Rita Saavedra Individual Corporate Director Sep 25, 2025
Carla Y Cross Individual Corporate Director Sep 25, 2025
Lizabeth Marquardt Individual Corporate Director Sep 25, 2025
Tate Walters Individual Corporate Director Sep 25, 2025
Tavaris White Individual Corporate Director Sep 25, 2025
Tangela M Poole Individual Corporate Officer Sep 3, 2025
David Bowen Individual Corporate Director Sep 25, 2025
Suzanne G Schuler Individual Corporate Director Sep 25, 2025
Dian Fellows Individual Corporate Director Sep 25, 2025

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
St Benedict the MoorMilwaukee, WI, CCN 521867 Federally qualified health center Operational/Managerial Control Jan 27, 2014

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 5

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": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1801769815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 140",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051642",
            "telephone_number": "414-727-6320",
            "fax_number": "414-727-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING STREET",
            "address_2": "140",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051642",
            "telephone_number": "414-727-6320",
            "fax_number": "414-727-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH COMMUNITY HEALTH CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTREACH COMMUNITY HEALTH CENTERS, INC.",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS ROBINSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-964-9012"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Racine Outreach Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.