Kenosha Community Health Center, Inc

LBN: Kenosha Community Health Center, Inc
Kenosha Community Health Center, Inc is an health care organization with primary practice located at 903 S 2Nd St , Silver Lake WI 53170-1747. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Kenosha Community Health Center, Inc can be contacted via phone (262) 656-0044, or through Collins, Dorian via phone (262) 764-3622.

Contact Information

Primary practice address
903 S 2Nd St Silver Lake WI 53170-1747
Phone: (262) 656-0044
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Collins, Dorian
Phone: (262) 764-3622

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1568931541
LBN Legal business name Kenosha Community Health Center, Inc
DBA Doing business as
Authorized official Collins, Dorian
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2018
Last updated Nov 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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