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Kenosha Community Health Center, Inc — NPI 1710635677, Kenosha, WI | NPI Central

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NPI 1710635677

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Kenosha Community Health Center, Inc

NPI 1710635677 · Federally Qualified Health Center (FQHC) · Kenosha, WI

Provider details

NPI number: 1710635677
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: John Stampfl, Controller(262) 656-0044

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities

Practice location

4006 Washington Rd

Kenosha, WI 53144-4819

Phone: (262) 656-0044

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

4006 Washington Rd

Kenosha, WI 53144-4819

Other names (DBA / former)

Doing business as: Pillar Health

Registry dates

Enumerated: 2022-03-10
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.