OrganizationActive
Kenosha Community Health Center, Inc.
NPI 1265435960 · Federally Qualified Health Center (FQHC) · Kenosha, WI
Provider details
- NPI number
- 1265435960
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Ouimet, Ceo(262) 771-3561
Specialties & taxonomies
Ambulatory Health Care Facilities
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
- Dentist122300000X
Dental Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
4536 22nd Ave
Kenosha, WI 53140-5917
Phone: (262) 656-0044
Fax: (262) 653-2218
Approximate (ZIP-level) locationGet directions
Mailing address
4006 Washington Rd
Kenosha, WI 53144-4819
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.