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LISBON AVENUE HEALTH CENTER
NPI 1720153653
Clinic/Center - Federally Qualified Health Center (FQHC) in Milwaukee, WI

Active since November 24, 2006
3522 W LISBON AVE, MILWAUKEE, WI 53208(414) 935-8000(414) 344-3396 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisbon Avenue Health Center NPPES

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

LISBON AVENUE HEALTH CENTER (NPI 1720153653) is a healthcare organization registered as a federally qualified health center (fqhc) in Milwaukee, Wisconsin and active in the NPI registry since November 2006. The organization lists Candice Cole, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720153653
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Location Address3522 W LISBON AVEMilwaukee, WI 53208-1953
Mailing AddressPo Box 080257Milwaukee, WI 53208-8004 · (414) 935-8000 · Fax (414) 755-0058
Phone(414) 935-8000
Fax(414) 344-3396
Organization SubpartNo
Authorized OfficialCandice ColeCfo · (414) 935-8000
Enumeration DateNovember 24, 2006
Last NPPES UpdateJanuary 25, 2017
✔ NPI 1720153653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDentistTaxonomy 122300000X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3522 W LISBON AVE, Milwaukee, WI 53208
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Other Names 1

Other NameLisbon Avenue Health Center

Other Identifiers 5

Medicare UPIN521821WI
Medicare ID-Type Unspecified000001435WI
Medicaid32957400WI
Medicare ID-Type Unspecified521821WI
Other=========015WI · Bcbs

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

RABANY CLAYBORN NP-C
Nurse Practitioner (Psychiatric/Mental Health)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8000
CIENNA HOPKINS PA-C
Physician Assistant
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8000
DIANA ALTSTADT LCSW, CMT
Social Worker (Clinical)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8000
WESTSIDE HEALTHCARE ASSOCIATION INC
Family Medicine
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8000
DR. MADELAINE T TULLY MD
Family Medicine
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8000
OLIVIA UVON CARTER PA
Physician Assistant (Medical)
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8000
DR. MAGDELYN MARIE MUELLER DDS
Dentist
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8011
MRS. SHANNON M ENGEL RDH
Dental Hygienist
3522 W LISBON AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 935-8000

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 Progressive Community Health Centers, Inc.'s NPI number?

The NPI number for Progressive Community Health Centers, Inc. is 1720153653. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is also known as Lisbon Avenue Health Center.

Where is Progressive Community Health Centers, Inc. located?

Progressive Community Health Centers, Inc. is located at 3522 W Lisbon Ave, Milwaukee, WI 53208. The listed phone number is (414) 935-8000.

What is Progressive Community Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Progressive Community Health Centers, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Progressive Community Health Centers, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Progressive Community Health Centers, Inc. was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.