Organization
KENOSHA COUNTY DIVISION OF HEALTH
Active
Other names
Kenosha County Health Dept
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JANSEN (DIRECTOR)
(262) 605-6700
Entity
Organization
Contact information
Practice address
8600 SHERIDAN RD, SUITE 600, KENOSHA, WI 53143-6506
(262) 605-6700
(262) 605-6715
Mailing address
8600 SHERIDAN RD, SUITE 600, KENOSHA, WI 53143-6506
(262) 605-6700
(262) 605-6715
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
WI
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41862400
—
WI
05
—
42010200
—
WI
05
—
43084000
—
WI
05
—
44000000
—
WI
Enumeration date
08/07/2007
Last updated
08/27/2021
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