KENOSHA COMMUNITY HEALTH CENTER INC. NPI 1942595657

NPI Information

KENOSHA COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Kenosha, WI. KENOSHA COMMUNITY HEALTH CENTER, INC. NPI is 1942595657. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenosha Community Center Clinic.

The provider's business location address is:

1330 52ND ST
SUITE 205
KENOSHA, WI
ZIP 53140-236
Phone: (262) 656-0044
Fax: (262) 764-3636

The provider's authorized official is Mary 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 6/10/2011 and was last updated on 7/23/2014.

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:

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