| NPI | 1427717115 |
|---|---|
| Other Name | ROCK RIVER COMMUNITY CLINIC-WATERTOWN |
| Entity Type | Organization |
| Authorized Contact | OLIVIA NICHOLS CEO/Executive Director 262-472-6839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2025-06-02 |