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Contact Information

KENOSHA COMMUNITY HEALTH CENTER, INC
903 S 2ND ST
SILVER LAKE, WI53170-1747
 Phone: 262-656-0044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for KENOSHA COMMUNITY HEALTH CENTER, INC

NPI # 1568931541
LBN Legal business name KENOSHA COMMUNITY HEALTH CENTER, INC
Authorized official JOHN STAMPFL - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2018
Last updated 02/25/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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