Kenosha Community Health Center, Inc. is a Family Medicine Clinic in Kenosha, Wisconsin. It is located at 4536 22nd Ave, Kenosha, WI and its contact number is 262-656-0044. The authorized person for Kenosha Community Health Center, Inc. is Mrs. Mary Coffey
who is Executive Director of the clinic and their contact number is 262-764-3608. The primary license number for Kenosha Community Health Center, Inc. is NONE (Community Health) in Wisconsin.
Kenosha Community Health Center, Inc. Clinic 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.
Complete Clinic Profile:
Kenosha Community Health Center, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kenosha Community Health Center, Inc. |
| Specialization: | Family Medicine |
| Clinic Address: | 4536 22nd Ave, Kenosha, Wisconsin, 53140-5917 |
| Phone: | 262-656-0044 |
| Fax: | 262-653-2218 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Mary Coffey |
| Position: | Executive Director |
| Contact Number: | 262-764-3608 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kenosha Community Health Center, Inc. clinic are as mentioned below.
| NPI Number: | 1265435960 |
| NPI Enumeration Date: | 27 May, 2005 |
| NPI Last Update On: | 09 Sep, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenosha Community Health Center, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community Health | NONE | Wisconsin | Primary | |
| Family Medicine | | | Secondary | |
| Dentist | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 32956300 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenosha Community Health Center, Inc. 625 57th St, Suite 700 Kenosha, Wisconsin |
| Zip: | 53140-4146 |
| Phone Number: | 262-764-3622 |
| Fax Number: | 262-764-3636 |
Patients can reach Kenosha Community Health Center, Inc. at
4536 22nd Ave, Kenosha, Wisconsin or can
call to book an appointment on 262-656-0044.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.