Kenosha Community Health Center, Inc. is a Dental 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 have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
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:
Dentistry
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
Dentist
Secondary
Family Medicine
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.