KENOSHA COMMUNITY HEALTH CENTER, INC.
KENOSHA COMMUNITY HEALTH CENTER, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1265435960, based in Kenosha, WI. The organization lists 11 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.
Getting there
The practice address on file is 4536 22ND AVE, Kenosha, WI 53140. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| NONE | WI | Federally Qualified Health Center (FQHC) primary |
This provider holds licence NONE issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0941195168
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Wisconsin | O20040217000840 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20100921001207 | Part A Provider - Federally Qualified Health Center (fqhc) |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | NONE | WI | primary |
| 2084P0804X | Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | — | — | |
| 122300000X | Dentist | — | — | |
| 101YM0800X | Mental Health Counselor Mental Health | — | — | |
| 101Y00000X | Counselor | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | |
| 208D00000X | General Practice Physician | — | — | |
| 1041C0700X | Clinical Social Worker Clinical | — | — | |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — | |
| 101YP2500X | Professional Counselor Professional | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1265435960 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 27, 2005 |
| Last updated | Feb 25, 2026 |
| Status | Active |
| Practice address |
4536 22ND AVE Kenosha, WI 53140 (262) 656-0044 Fax (262) 653-2218 |
| Mailing address |
4006 WASHINGTON RD Kenosha, WI 53144 |
| Other identifiers |
32956300
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 6 | 5 | 4 | 3 | 5 | 9 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 3 | 5 | 8 | 3 | 1 | 9 | 3 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.