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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