Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Racine Community Health Center Inc

Organization Family Medicine Physician · NPI 1174395792

Racine Community Health Center Inc is a Family Medicine Physician in Racine, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

930 Dr Martin Luther King Dr # 17
Racine, WI 53404-3008
Phone: (262) 800-7242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X
Dental Clinic/Center Taxonomy 261QD0000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1174395792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Riva Kimmel — Operations Manager · (262) 672-2578
NPI enumeratedOctober 26, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 25, 2023
Mailing address930 Dr Martin Luther King Dr # 17, Racine, WI 53404-3008

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