KENOSHA COMMUNITY HEALTH CENTER, INC (NPI# 1568931541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568931541 |
| Entity Type | Organization |
| Organization Name | KENOSHA COMMUNITY HEALTH CENTER, INC |
| Practice Address |
903 S 2nd St Silver Lake WI 53170-1747 |
| Mailing Address |
625 57th St Ste 700 Kenosha WI 53140-4146 |
| Practice Telephone | 2626560044 |
| Mailing Telephone | 2627643622 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | DORIAN COLLINS (CREDENTALING SPECIALIST) |
| Authorized Official Telephone | 2627643622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| Street Address |
903 S 2ND ST |
| City | SILVER LAKE |
| State | WI |
| Zip Code | 53170-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821104209 | Silver Lake Rescue Squad Inc | Ambulance | 209 E Lake St, Silver Lake, WI 53170 | 2006-08-21 |
| 1649459637 | Jt School Dist No 1 | Local Education Agency (LEA) | 300 E Prosser St, Silver Lake, WI 53170-1409 | 2007-10-26 |
| 1265750798 | Dawn Marie Reuter | Occupational Therapist | 645 Fourth Ct, Silver Lake, WI 53170-1436 | 2010-05-07 |
| 1376058941 | Kendra Maksen | Speech-Language Pathologist | 114 W Elm St, Silver Lake, WI 53170-1509 | 2017-12-05 |
| 1174798110 | Nicole Lee Kusters | Physical Therapy Assistant | 310 W Depot St, Silver Lake, WI 53170-1529 | 2008-04-29 |
| 1437793478 | Michael John Paul Sokolski | Specialist/Technologist | 112 W Depot St, Silver Lake, WI 53170-1531 | 2019-11-02 |
| 1477854016 | Jessica Ann Ernst | Registered Nurse | 310 E Lake St, Silver Lake, WI 53170-1728 | 2010-11-13 |
| 1639332562 | Speech & Langauge Therapy and Rehabilitation Specialists | Speech-Language Pathologist | 401 E Lake St, Silver Lake, WI 53170-1729 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238331 | Brooke Ann Huffman | Registered Nurse | 5332 W 1300 S, Silver Lake, IN 46982-8528 | 2020-06-02 |
| 1437793478 | Michael John Paul Sokolski | Specialist/Technologist | 112 W Depot St, Silver Lake, WI 53170-1531 | 2019-11-02 |
| 1033680715 | Lake County School Dist. #14 | Local Education Agency (LEA) | 57566 Fort Rock Rd, Silver Lake, OR 97638-9629 | 2018-12-06 |
| 1609384676 | A2b Transportation LLC | Non-emergency Medical Transport (VAN) | 110 Century Ln, Silver Lake, MN 55381-6174 | 2018-01-11 |
| 1376058941 | Kendra Maksen | Speech-Language Pathologist | 114 W Elm St, Silver Lake, WI 53170-1509 | 2017-12-05 |
| 1316482383 | Natural Fit LLC | Prosthetic/Orthotic Supplier | 408 Circle Dr, Suite C, Silver Lake, KS 66539-9520 | 2016-12-30 |
| 1134571979 | Sarah Zuch | Physical Therapist | 2980 Silver Lake Blvd, Silver Lake, OH 44224-3035 | 2016-07-05 |
| 1033583059 | Kristin Weaver | Speech-Language Pathologist | 3016 Vincent Rd, Silver Lake, OH 44224-2947 | 2015-11-16 |
| 1184096604 | Barry Kiernan | Speech-Language Pathologist | 3121 E Edgerton Rd, Silver Lake, OH 44224-3108 | 2015-10-23 |
| 1821471749 | Hope Hayes | Dietitian, Registered | 92 Charlotte Point Road, Silver Lake, NH 03875 | 2015-07-09 |
| Find all providers in SILVER LAKE | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693847 | Scenic Bluffs Health Center, Inc | Clinic/Center | 100 Blackhawk Dr, Viroqua, WI 54665-1315 | 2019-08-02 |
| 1942718762 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 2607 S 5th St, Milwaukee, WI 53207-1418 | 2018-01-15 |
| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| Find all providers with the same taxonomy | ||||
| City | SILVER LAKE |
| Zip Code | 53170 |
Please comment or provide details below to improve the information on KENOSHA COMMUNITY HEALTH CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.