| Rock River Community Clinic Inc | |
|
1461 W Main St Ste B Whitewater WI 53190-1568 | |
| (262) 472-6839 | |
| (262) 472-6802 |
| Full Name | Rock River Community Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1461 W Main St Ste B, Whitewater, Wisconsin |
| Authorized Official Name and Position | Cori Ellen Olin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9205634372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock River Community Clinic Inc 1461 W Main St Ste B Whitewater WI 53190-1568 Ph: (262) 472-6839 | Rock River Community Clinic Inc 1461 W Main St Ste B Whitewater WI 53190-1568 Ph: (262) 472-6839 |
| NPI Number | 1184220659 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 06/23/2021 |
| Medicare PECOS PAC ID | 3971906983 |
|---|---|
| Medicare Enrollment ID | O20210728003728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184220659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Michael A Grajewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023085685 PECOS PAC ID: 4981597812 Enrollment ID: I20040205000505 |
| Provider Name | Thomas W Grossman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699749689 PECOS PAC ID: 2163468240 Enrollment ID: I20050711000658 |
| Provider Name | Stephanie L Nottestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457360760 PECOS PAC ID: 5799716338 Enrollment ID: I20050824000275 |
| Provider Name | Donald L Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326043266 PECOS PAC ID: 3375644545 Enrollment ID: I20070727000748 |
| Provider Name | Mary K Beck Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902857709 PECOS PAC ID: 5294893939 Enrollment ID: I20081023000693 |
| Provider Name | Helen E Box |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871657528 PECOS PAC ID: 7012157696 Enrollment ID: I20151230002177 |
| Provider Name | Elizabeth C Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205436821 PECOS PAC ID: 4981003027 Enrollment ID: I20210524000506 |
| Provider Name | Cynthia Carolina Sepulveda Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952987273 PECOS PAC ID: 0244637742 Enrollment ID: I20210927001725 |
Health & Counseling Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 W. Starin Rd., Whitewater, WI 53190 Phone: 262-472-1300 Fax: 262-472-1435 | |
Mercy Health System Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Whitewater, WI 53190 Phone: 262-473-0400 Fax: 262-473-0408 | |
Edgerton Hospital And Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 E Milwaukee St, Whitewater, WI 53190 Phone: 608-884-1609 | |
University Of Wisconsin - Whitewater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Uw-whitewater, Whitewater, WI 53190 Phone: 262-472-1300 Fax: 262-472-5608 |