| Kenosha Community Health Center, Inc. | |
|
2310 Center St Racine WI 53403-3330 | |
| (262) 764-3608 | |
| (262) 764-3636 |
| Full Name | Kenosha Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2310 Center St, Racine, Wisconsin |
| Authorized Official Name and Position | Mary S Mchugh-coffey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2627643608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenosha Community Health Center, Inc. 625 57th St Suite 700 Kenosha WI 53140-4146 Ph: (262) 764-3608 | Kenosha Community Health Center, Inc. 2310 Center St Racine WI 53403-3330 Ph: (262) 764-3608 |
| NPI Number | 1174071658 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174071658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Wisconsin) | Primary |
Bruce A Luccas, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Ste 130, Racine, WI 53405 Phone: 262-631-8750 Fax: 262-631-8754 | |
Northwestern Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Green Bay Rd, Suite 200, Racine, WI 53406 Phone: 262-631-0474 Fax: 262-631-0476 | |
Family Care Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5439 Durand Ave, Suite 202, Racine, WI 53406 Phone: 262-598-9205 | |
Racine Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Dr Martin Luther King Dr # 17, Racine, WI 53404 Phone: 262-800-7242 | |
Lotus Comprehensive Health Care, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Indiana St, Racine, WI 53405 Phone: 262-497-1000 | |
Tiferet Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5439 Durand Ave, Suite 200, Racine, WI 53406 Phone: 262-554-6869 Fax: 262-554-6883 |