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ROCK RIVER COMMUNITY CLINIC INC
NPI 1184220659
Clinic/Center - Federally Qualified Health Center (FQHC) in Whitewater, WI

Active since December 09, 2020CLIA Certified · 3 labs
1461 W MAIN ST STE B, WHITEWATER, WI 53190(262) 472-6839(262) 472-6802 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2025, Jun 23, 2021, Dec 9, 2020 (3 updates tracked since 2020).

About Rock River Community Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCK RIVER COMMUNITY CLINIC INC (NPI 1184220659) is a healthcare organization registered as a federally qualified health center (fqhc) in Whitewater, Wisconsin and active in the NPI registry since December 2020. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Cori Ellen Olin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184220659
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameROCK RIVER COMMUNITY CLINIC INC
Location Address1461 W MAIN ST STE BWhitewater, WI 53190-1568
Mailing Address1461 W Main St Ste BWhitewater, WI 53190-1568 · (262) 472-6839 · Fax (262) 472-6802
Phone(262) 472-6839
Fax(262) 472-6802
Organization SubpartNo
Authorized OfficialCori Ellen OlinExecutive Director · (920) 563-4372
Enumeration DateDecember 9, 2020
Last NPPES UpdateOctober 23, 20253 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1184220659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1461 W MAIN ST STE B, Whitewater, WI 53190
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Other Names 1

Other NameRock River Community Clinic Inc

Secondary Practice Locations 2

Location 1415 S 8th StWatertown, WI 53094-4730 · Phone (920) 206-7797
Location 21541 Annex RdJefferson, WI 53549-9803 · Phone (920) 674-7442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2231445

Rock River Community Clinic, Inc · Whitewater, WI
Active · expires Aug 2, 2027
CLIA Number52D2231445
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorDr. Donald L. Williams
Laboratory Phone(262) 472-6839
Laboratory LocationRock River Community Clinic, Inc1461 West Main St, Whitewater, WI 53190
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2338053

Rock River Community Clinic, Inc · Johnson Creek, WI
Active · expires Feb 3, 2028
CLIA Number52D2338053
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorDr. Donald L. Williams
Laboratory Phone(262) 472-6839
Laboratory LocationRock River Community Clinic, Inc400 Doctors Cour, Suite B, Johnson Creek, WI 53038
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2312382

Rock River Community Clinic, Inc · Watertown, WI
Active · expires Oct 9, 2026
CLIA Number52D2312382
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorDr. Donald L. Williams
Laboratory Phone(920) 206-7797
Laboratory LocationRock River Community Clinic, Inc132 Hospital Drive, Watertown, WI 53098
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELIZABETH MARIE LUCHT MSSW, PA-C
Physician Assistant
1461 W MAIN ST STE B
WHITEWATER, WI 53190
Walworth County (262) 472-6839
DR. DONALD L WILLIAMS M.D.
Internal Medicine
1461 W MAIN ST STE B
WHITEWATER, WI 53190
Walworth County (262) 472-6839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rock River Community Clinic Inc's NPI number?

The NPI number for Rock River Community Clinic Inc is 1184220659. It was assigned to this organization in the NPPES registry on December 9, 2020.

Where is Rock River Community Clinic Inc located?

Rock River Community Clinic Inc is located at 1461 W Main St Ste B, Whitewater, WI 53190. The listed phone number is (262) 472-6839.

What is Rock River Community Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Rock River Community Clinic Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Rock River Community Clinic Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Rock River Community Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rock River Community Clinic Inc was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.