Organization
CITY OF RACINE HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANELLE GRAMMER (HEALTH ADMINISTRATOR)
(262) 636-9202
Entity
Organization
Contact information
Practice address
730 WASHINGTON AVE, ROOM 106, RACINE, WI 53403-1146
(262) 636-9201
(262) 636-9564
Mailing address
730 WASHINGTON AVE, ROOM 106, RACINE, WI 53403-1146
(262) 636-9201
(262) 636-9564
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133524001
UNITED HEALTHCARE
WI
05
—
32932300
—
WI
05
—
41862300
—
WI
05
—
43084100
—
WI
05
—
44007900
—
WI
01
—
590219
DEAN HEALTH PLAN
WI
Enumeration date
03/23/2007
Last updated
08/22/2020
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