NPIMap

Kenosha Community Health Center, Inc.

A Medicare group practice based in Kenosha, WI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0941195168), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941195168The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
6
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
9In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040217000840 WI Part B Supplier - Clinic/Group Practice 1265435960
O20190213000346 WI Part A Provider - Federally Qualified Health Center (FQHC) 1568931541
O20220511000247 WI Part A Provider - Federally Qualified Health Center (FQHC) 1710635677
O20250806000414 WI Part A Provider - Federally Qualified Health Center (FQHC) 1215823406
O20090212000224 WI Part A Provider - Federally Qualified Health Center (FQHC) 1770789489
O20100921001207 WI Part A Provider - Federally Qualified Health Center (FQHC) 1265435960

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 26

Clinicians who reassign their Medicare benefits to this group (26) or whom Care Compare lists as members (19).

Sources for this page