Racine Community Health Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RACINE COMMUNITY HEALTH CENTER INC

Practice address

930 Dr Martin Luther King Dr # 17
Racine, WI 53404-3008

Phone

(262) 800-7242

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Riva Kimmel

Title

Operations Manager

Phone

(262) 672-2578

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1174395792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 DR MARTIN LUTHER KING DR # 17",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534043008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 DR MARTIN LUTHER KING DR # 17",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534043008",
            "telephone_number": "262-800-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACINE COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "RIVA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "262-672-2578",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Quizon, DDS
• R. Benjamin Behavioral Consulting
• Ra Town Transportation LLC
• Steven Rabinowe, M.D.
• Racine Chiropractic LTD
• Racine County
• Racine County CCS
• Racine County Finance Department
• Racine County Human Services Department
• Racine County Human Services Department

• Clinic/Center in Racine, WI
• Providers in Racine, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.