MLK HERITAGE HEALTH CENTER
NPI 1316980709
Pharmacy in Milwaukee, WI
NPI Status: Active since June 14, 2006
Contact Information
2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI
ZIP 53212
Phone: (414) 267-2021
Fax: (414) 372-7420
- Organization
- Pharmacy
- CLIA Number: 52D0681642
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 11-26-2025
About MLK HERITAGE HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Mlk Heritage Health Center, a provider established in Milwaukee, Wisconsin operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1316980709 assigned on June 2006. The practitioner's primary taxonomy code is 333600000X with license number 8681-42 (WI). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Mlk Heritage Health Center. The authorized official of this NPI record is Dr. Tito L Izard M.d. (President Ceo)
- NPI
- 1316980709
- Provider Legal Name
- MILWAUKEE HEALTH SERVICES, INC.
- Other Organization Name
- MLK HERITAGE HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212
- Location Phone
- (414) 267-2021
- Location Fax
- (414) 372-7420
- Mailing Address
- 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212
- Mailing Phone
- (414) 267-2021
- Mailing Fax
- (414) 372-7420
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2006
- Last Update Date
- 04-05-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 8681-42
- License State
- WI
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5107669 | MEDICARE OSCAR/CERTIFICATION (06) | WI | |
| 000002690 | MEDICARE PIN (08) | WI | |
| 32958200 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0681642
- Facility Type
- Community Clinic
- Certificate Effective Date
- November 27, 2023
- Certificate Expiration Date
- November 26, 2025
- Laboratory Director
- DR. ARONICA V. WILLIAMS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mlk Heritage Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for MLK HERITAGE HEALTH CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 9 | 8 | 0 | 7 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 18 | 8 | 0 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 8 + 8 + 0 + 7 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1316980709 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346209475 | DR. THOMAS MATHEW MINIOR M.D. Individual | Internal Medicine | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 286-6855 |
| 1861651366 | MILWAUKEE HEALTH SERVICES Organization | Case Management | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1043456551 | CAROLYN AYLSWORTH RN Individual | Registered Nurse | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1740516186 | MILWAUKEE HEALTH SERVICES INC Organization | Public Health or Welfare | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1871809749 | ASHLEY R WICKENHAUSER-GRIEF RDH Individual | Dental Hygienist | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1255318564 | DR. MIRIAN BOYD ORGAN MD Individual | Obstetrics & Gynecology | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1902928559 | LAVAUGHN COTTON M.D. Individual | Pediatrics | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1942642103 | DR. PEDRO RAMIRO OCHOA DDS Individual | Dentist (General Practice) | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1689089740 | ADA Y BAZEMORE Individual | Dental Hygienist | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1346657442 | MILWAUKEE HEALTH SERVICES INC Organization | Case Management | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 267-2022 |
| 1528452760 | ANN MARIE DAY Individual | Dental Hygienist | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 562-8432 |
| 1821028887 | MILWAUKEE HEALTH SERVICES, INC. Organization | Pharmacy (Clinic Pharmacy) | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 267-3702 |
| 1679569289 | ENID A OKOKON M.D. Individual | Pediatrics | 2555 N MARTIN LUTHER KING DR MILWAUKEE HEALTH SERVICES, INC. MILWAUKEE, WI 53212 (414) 372-8080 |
| 1669843876 | MEGAN MARY RAY APNP Individual | Nurse Practitioner (Pediatrics) | 2555 N MARTIN LUTHER KING DR MILWAUKEE HEALTH SERVICES, INC. MILWAUKEE, WI 53212 (414) 372-8080 |
| 1942519418 | NICOLE LAABS PA-C Individual | Physician Assistant | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 267-2080 |
| 1235126632 | CYNTHIA A FLOORE MD Individual | Family Medicine | 2555 N MARTIN LUTHER KING DR MILWAUKEE HEALTH SERVICES, INC. MILWAUKEE, WI 53212 (414) 372-8080 |
| 1821512948 | MR. TYLER D CARLE PA-C Individual | Physician Assistant | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 266-2641 |
| 1740776525 | ADELA BRODEK DDS Individual | Dentist (General Practice) | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1962998260 | MICHELLE R AUMANN DMD Individual | Dentist (General Practice) | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
| 1942221114 | DR. CHRISTOPHER J WITHERS D.O. Individual | Internal Medicine | 2555 N MARTIN LUTHER KING DR MILWAUKEE, WI 53212 (414) 372-8080 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316980709, enumerated in the NPI registry as an "organization" on June 14, 2006
The provider is located at 2555 N Martin Luther King Dr Milwaukee, Wi 53212 and the phone number is (414) 267-2021
This medical organization specializes in Pharmacy with taxonomy code 333600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0681642 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on June 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.