Organization
ROCK RIVER COMMUNITY CLINIC INC
Active
Parent organization
ROCK RIVER COMMUNITY CLINIC INC
Other names
Rock River Community Clinic-Watertown
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCK RIVER COMMUNITY CLINIC INC
Authorized official
OLIVIA NICHOLS PHD (CEO/EXECUTIVE DIRECTOR)
(262) 472-6839
Entity
Organization
Contact information
Practice address
132 HOSPITAL DR, WATERTOWN, WI 53098-3304
(920) 206-7797
(920) 206-0870
Mailing address
1461 W MAIN ST, WHITEWATER, WI 53190-1568
(262) 472-6839
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
06/02/2025
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