Provider Demographics
NPI:1942459094
Name:OUTREACH COMMUNITY HEALTH CENTERS, INC.
Entity Type:Organization
Organization Name:OUTREACH COMMUNITY HEALTH CENTERS, INC.
Other - Org Name:HEALTH CARE FOR THE HOMELESS OF MILWAUKEE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-727-6320
Mailing Address - Street 1:711 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-3328
Mailing Address - Country:US
Mailing Address - Phone:414-374-2400
Mailing Address - Fax:
Practice Address - Street 1:711 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-3328
Practice Address - Country:US
Practice Address - Phone:414-374-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRE-NATAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-13
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare