Organization Active NPI

Open Arms Free Clinic

  • Community Health Clinic/Center
  • Elkhorn, WI
National Provider Identifier
1144732272
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
OPEN ARMS FREE CLINIC
Practice address
205 East Commerce CT
Elkhorn, WI 53121-4360
Phone
(262) 379-1401
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara L Nichols, MASTER OF PUBLIC HEA
Title
Executive Director
Phone
(262) 379-1404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

205 East Commerce CT
Elkhorn, WI 53121-4360

Mailing address

PO Box 678
Elkhorn, WI 53121-4360
Phone (262) 379-1401

Other practice location 1

205 Commerce Ct
Elkhorn, WI 53121-4360
Phone (262) 379-1401

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2233145Open Arms Free Clinic, Inc205 E Commerce CT, Elkhorn, WI 53121Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1144732272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214360",
            "telephone_number": "262-379-1401",
            "fax_number": "262-379-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EAST COMMERCE CT",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214360",
            "telephone_number": "262-379-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Commerce Ct",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "WI",
            "postal_code": "531214360",
            "country_code": "US",
            "telephone_number": "262-379-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN ARMS FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "262-379-1404",
        "authorized_official_credential": "MASTER OF PUBLIC HEA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.