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
400 DOCTORS CT STE B
JOHNSON CREEK, WI53038-9567
Phone: 920-563-4372
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for ROCK RIVER COMMUNITY CLINIC, INC

NPI Number 1780563536
Legal business name
LBN
ROCK RIVER COMMUNITY CLINIC, INC
Authorized official OLIVIA NICHOLS - (CEO/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 08/27/2025
Last updated 08/27/2025 - About 9 months 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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