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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for ROCK RIVER COMMUNITY CLINIC, INC

NPI # 1780563536
LBN Legal business name ROCK RIVER COMMUNITY CLINIC, INC
Authorized official OLIVIA NICHOLS - (CEO/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/27/2025
Last updated 08/27/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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