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.
4536 22ND AVE
KENOSHA, WI53140-5917
Phone: 262-656-0044
Fax: 262-653-2218
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Child & Adolescent Psychiatry 2084P0804X
Clinical 1041C0700X
Counselor 101Y00000X
Dentist 122300000X
Family Medicine 207Q00000X
General Practice 208D00000X
Mental Health 101YM0800X
Professional 101YP2500X
Psychiatric/Mental Health 363LP0808X
Psychiatry 2084P0800X

* Indicates primary specialty

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

NPI Number 1265435960
Legal business name
LBN
KENOSHA COMMUNITY HEALTH CENTER, INC.
Authorized official MARY OUIMET - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/27/2005
Last updated 02/25/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: NONE
  • WI Medicaid: 32956300

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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