KENOSHA COMMUNITY HEALTH CENTER INC. NPI 1174071658

NPI Information

KENOSHA COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Racine, WI. KENOSHA COMMUNITY HEALTH CENTER, INC. NPI is 1174071658. The provider is registered as an organization entity type.

The provider's business location address is:

2310 CENTER ST
RACINE, WI
ZIP 53403-330
Phone: (262) 764-3608
Fax: (262) 764-3636

The provider's authorized official is Mary S Mchugh-coffey .
The authorized official title is Executive Director and has the following contact phone number (262) 764-3608.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 9/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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