CITY OF RACINE HEALTH DEPARTMENT
NPI 1992822266
Public Health or Welfare in Racine, WI

Active since March 23, 2007CLIA 52D0671313 · Waiver
730 WASHINGTON AVE, ROOM 106, RACINE, WI 53403(262) 636-9201(262) 636-9564 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About City Of Racine Health Department NPPES

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

CITY OF RACINE HEALTH DEPARTMENT (NPI 1992822266) is a healthcare organization registered as a public health or welfare in Racine, Wisconsin and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Janelle Grammer, Health Administrator, as its authorized official.

NPPES Registry Identity

NPI1992822266
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCITY OF RACINE HEALTH DEPARTMENT
Location Address730 WASHINGTON AVE, ROOM 106Racine, WI 53403-1146
Mailing Address730 Washington Ave, Room 106Racine, WI 53403-1146 · (262) 636-9201 · Fax (262) 636-9564
Fax(262) 636-9564
Organization SubpartNo
Authorized OfficialJanelle GrammerHealth Administrator · (262) 636-9202
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1992822266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
730 WASHINGTON AVE, Racine, WI 53403

Other Identifiers 6

Other2133524001WI · United Healthcare
Other590219WI · Dean Health Plan
Medicaid43084100WI
Medicaid44007900WI
Medicaid32932300WI
Medicaid41862300WI

CLIA Laboratory Certificates CMS CLIA

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 52D0671313

City Of Racine Health Department · Racine, WI
Active · expires May 31, 2028
CLIA Number52D0671313
Laboratory TypePublic Health Laboratories
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Robert M. Gullberg
Laboratory Phone(262) 636-9201
Laboratory LocationCity Of Racine Health Department730 Washington Ave, Racine, WI 53403
CLIA data matches this NPI record on: Address 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.

Public Health or Welfare
730 WASHINGTON AVE
RACINE, WI 53403
Technician
730 WASHINGTON AVE
RACINE, WI 53403

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 City Of Racine Health Department's NPI number?

The NPI number for City Of Racine Health Department is 1992822266. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is City Of Racine Health Department located?

City Of Racine Health Department is located at 730 Washington Ave Room 106, Racine, WI 53403. The listed phone number is (262) 636-9201.

What is City Of Racine Health Department's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does City Of Racine Health Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0671313) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Of Racine Health Department was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.