Organization
ROCK RIVER COMMUNITY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ABE MARTINEZ (MANAGER)
(920) 563-4372
Entity
Organization
Contact information
Practice address
520 HANDEYSIDE, SUITE 4, FORT ATKINSON, WI 53538
(920) 563-4372
(920) 463-4374
Mailing address
520 HANDEYSIDE LN STE 4, FORT ATKINSON, WI 53538-1279
(920) 563-4372
(920) 463-4374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38397100
—
WI
Enumeration date
01/18/2008
Last updated
05/27/2025
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