MHS CONVENIENT CARE CLINIC
NPI 1275767485
Nurse Practitioner - Community Health in Milwaukee, WI

Active since May 04, 2009
4061 N 54TH ST, MILWAUKEE, WI 53216(414) 372-8080 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mhs Convenient Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MHS CONVENIENT CARE CLINIC (NPI 1275767485) is a healthcare organization registered as a community health in Milwaukee, Wisconsin and active in the NPI registry since May 2009. The organization lists Fran Bolden, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275767485
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameMHS CONVENIENT CARE CLINIC
Location Address4061 N 54TH STMilwaukee, WI 53216-1377
Mailing Address2555 N Martin Luther King DrMilwaukee, WI 53212-2709 · (414) 372-8080 · Fax (414) 372-7425
Organization SubpartYesParent: Milwaukee Health Services, Inc
Authorized OfficialFran BoldenCredentialing Coordinator · (414) 372-8080
Enumeration DateMay 4, 2009
Last NPPES UpdateNovember 30, 2011
NPI 1275767485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
License Licensed in WI · 6282-800
4061 N 54TH ST, Milwaukee, WI 53216

Other Identifiers 12

Medicaid44066400WI
Other521829WI · Medicare Ugs#
Medicaid32958200WI
Medicaid43086700WI
Medicare PIN000002690WI
Other521804WI · Medicare Usg#
Medicaid33724600WI
Medicaid33782900WI
Medicaid32831100WI
Medicaid33780500WI
Medicaid42183000WI
Medicaid1518005818WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4061 N 54TH ST
MILWAUKEE, WI 53216
Pharmacy
4061 N 54TH ST
MILWAUKEE, WI 53216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mhs Convenient Care Clinic's NPI number?

The NPI number for Mhs Convenient Care Clinic is 1275767485. It was assigned to this organization in the NPPES registry on May 4, 2009.

Where is Mhs Convenient Care Clinic located?

Mhs Convenient Care Clinic is located at 4061 N 54th St, Milwaukee, WI 53216. The listed phone number is (414) 372-8080.

What is Mhs Convenient Care Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Mhs Convenient Care Clinic was last updated on November 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.