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Kenosha Community Health Center, Inc.

Federally Qualified Health Center (FQHC) in Kenosha, WI · enumerated 2005 · authorized official Mary Ouimet, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265435960

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Registry record

Entity type Organization (Type 2)
Legal business name Kenosha Community Health Center, Inc.
Practice address 4536 22nd Ave, Kenosha, WI, 53140
Phone (262) 656-0044
Fax (262) 653-2218
Enumeration date May 27, 2005
Last updated in NPPES Feb 25, 2026

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
122300000X Dentist Dental Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities · License NONE (WI) Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Mary Ouimet
Title Ceo
Phone (262) 771-3561

Other identifiers

Identifier Type State Issuer
32956300 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kenosha Community Health Center, Inc.?
The NPI for Kenosha Community Health Center, Inc. is 1265435960, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kenosha Community Health Center, Inc.?
NPPES lists Mary Ouimet (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-25.