Rock River Community Clinic, INC
NPI #1780563536 in Johnson Creek, Wisconsin
Provider Information
- NPI Number
- 1780563536
- Entity Type
- Organization
- Organization Name
- Rock River Community Clinic, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ROCK RIVER COMMUNITY CLINIC, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 27, 2025
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 400 DOCTORS CT STE B
- City
- Johnson Creek
- State
- Wisconsin
- ZIP Code
- 53038-9567
- Phone
- (920) 563-4372
Authorized Official
- Name
- OLIVIA NICHOLS
- Title
- CEO/EXECUTIVE DIRECTOR
- Phone
- (262) 472-6839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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