City of Racine Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CITY OF RACINE HEALTH DEPARTMENT

Practice address

730 Washington Ave
Room 106
Racine, WI 53403-1146

Phone

(262) 636-9201

Fax

(262) 636-9564

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Janelle Grammer

Title

Health Administrator

Phone

(262) 636-9202

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

City of Racine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City of Racine

  • Land Ambulance
  • Racine, WI
  • NPI 1427106699
  NPD tax ID
• City of Racine Health Department

  • Public Health or Welfare Agency
  • Racine, WI
  • NPI 1093997298
  NPD tax ID

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992822266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WASHINGTON AVE",
            "address_2": "ROOM 106",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031146",
            "telephone_number": "262-636-9201",
            "fax_number": "262-636-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WASHINGTON AVE",
            "address_2": "ROOM 106",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031146",
            "telephone_number": "262-636-9201",
            "fax_number": "262-636-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RACINE HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAMMER",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "262-636-9202",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43084100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2133524001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44007900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32932300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41862300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "590219",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Christensen, R.PH.
• Pete Ciaramita, RPH
• Cassandra Marie Cichy, PHARMD
• City of Racine
• City of Racine Health Department
• Jennifer M Clark, RDH
• Stephanie Clausen-Kubarth, OTR
• Aris Monique Claybrook, REGISTERED NURSE
• Susan Coady
• Cassandra C Coates, SAC-IT

• Public Health or Welfare Agency in Racine, WI
• Providers in Racine, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.