OrganizationActive
Kenosha Community Health Center, Inc
NPI 1770789489 · Federally Qualified Health Center (FQHC) · Kenosha, WI
Provider details
- NPI number
- 1770789489
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Stampfl, Cfo(262) 771-3561
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6226 14th Ave
Kenosha, WI 53143
Phone: (262) 925-1350
Fax: (262) 653-2218
Street-level locationGet directions
Mailing address
4006 Washington Rd
Kenosha, WI 53144-4819
Other names (DBA / former)
- Doing business as
- Pillar Health
Registry dates
- Enumerated
- 2007-06-21
- 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.