National Provider Identifier Database

KENOSHA COMMUNITY HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

KENOSHA COMMUNITY HEALTH CENTER, INC.
930 DR MARTIN LUTHER KING DR # 3
RACINE, WI53404-3008
Phone: 262-656-0044
Fax: 262-764-3636
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X
Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for KENOSHA COMMUNITY HEALTH CENTER, INC.

NPI Number 1215823406
Legal business name
LBN
KENOSHA COMMUNITY HEALTH CENTER, INC.
Authorized official JOHN STAMPFL - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 06/16/2025
Last updated 02/25/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 100328514

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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