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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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