National Provider Identifier Database

ROCK RIVER COMMUNITY CLINIC INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

ROCK RIVER COMMUNITY CLINIC INC
132 HOSPITAL DR
WATERTOWN, WI53098-3304
Phone: 920-206-7797
Fax: 920-206-0870
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Community Health 261QC1500X

* Indicates primary specialty

NPI Profile & details for ROCK RIVER COMMUNITY CLINIC INC

NPI Number 1427717115
Legal business name
LBN
ROCK RIVER COMMUNITY CLINIC INC
Authorized official OLIVIA NICHOLS - (CEO/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/10/2021
Last updated 06/02/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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