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Kenosha Community Health Center, Inc
Federally Qualified Health Center (FQHC) in Kenosha, Wisconsin
NPI 1770789489

Kenosha Community Health Center, Inc is a Federally Qualified Health Center (FQHC) based in Kenosha, WI and is specialized in Federally Qualified Health Center (FQHC). Kenosha Community Health Center, Inc practices in Kenosha, WI. The NPI Number for Kenosha Community Health Center, Inc is 1770789489 and holds a License No. (Wisconsin).

The current practice location address for Kenosha Community Health Center, Inc is 6226 14Th Ave, Kenosha, WI and can be reached out via phone at 262-925-1350 and via fax at 262-653-2218.

Location: 6226 14Th Ave, Kenosha, WI, 53140-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770789489
Provider Name
Kenosha Community Health Center, Inc
Credential
Provider Entity Type
Organization
Address
6226 14Th Ave, Kenosha, WI, 53140-4146
Phone Number
262-925-1350
Fax Number
262-653-2218
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44014100 05 WI
32956300 05 WI
institution
Provider Business Practice Location Address Details
Address
6226 14Th Ave
City
Kenosha
State
Wisconsin
Zip
53143
Phone Number
262-925-1350
Fax Number
262-653-2218
person
Provider Business Mailing Address Details
Address
6226 14Th Ave
City
Kenosha
State
Wisconsin
Zip
53143
Phone Number
262-925-1350
Fax Number
262-653-2218
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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