Organization
KENOSHA COMMUNITY HEALTH CENTER, INC
Active
Organization
KENOSHA COMMUNITY HEALTH CENTER, INC
Active
Other names
Pillar Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAM STAMPFL (CFO)
(262) 771-3561
Entity
Organization
Contact information
Practice address
6226 14TH AVE, KENOSHA, WI 53143
(262) 925-1350
(262) 653-2218
Mailing address
4006 WASHINGTON RD, KENOSHA, WI 53144-4819
(262) 771-3558
(262) 649-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32956300
—
WI
05
—
44014100
—
WI
Enumeration date
06/21/2007
Last updated
02/25/2026
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