Organization
ROCK RIVER COMMUNITY CLINIC, INC
Active
Parent organization
ROCK RIVER COMMUNITY CLINIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCK RIVER COMMUNITY CLINIC, INC
Authorized official
OLIVIA NICHOLS (CEO/EXECUTIVE DIRECTOR)
(262) 472-6839
Entity
Organization
Contact information
Practice address
400 DOCTORS CT STE B, JOHNSON CREEK, WI 53038-9567
(920) 563-4372
Mailing address
1461 W MAIN ST STE B, WHITEWATER, WI 53190-1568
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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