Organization · Type 2 NPI

Kenosha Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Kenosha, WI

NPI number 1265435960 Active

Practice location

4536 22nd Ave
Kenosha, WI 53140-5917

Call (262) 656-0044 Map

Fax (262) 653-2218

Mailing address

4006 Washington Rd
Kenosha, WI 53144-4819

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Dentist 122300000XNone listed
Family Medicine Physician 207Q00000XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
General Practice Physician 208D00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNONE (WI)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1265435960

Kenosha Community Health Center, Inc.'s National Provider Identifier is 1265435960, issued on May 27, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kenosha, WI. The record was last updated on Feb 25, 2026.