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ROCK VALLEY COMMUNITY PROGRAMS INC. NPI 1134306293


NPI Information

NPI: 1134306293
Provider Name: ROCK VALLEY COMMUNITY PROGRAMS, INC.

Doing Business As: COMPASS BEHAVIORAL HEALTH CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 52D2150257

Address:
1820 CENTER AVE STE 170
JANESVILLE, WI
ZIP 53546
Phone: (608) 755-1475
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ROCK VALLEY COMMUNITY PROGRAMS, INC. is a mental health (including community mental health center) clinic center in Janesville, WI. ROCK VALLEY COMMUNITY PROGRAMS, INC. NPI is 1134306293. The provider is registered as an organization entity type.
The provider Is Doing Business As Compass Behavioral Health Clinic.

The provider's business location address is:

1820 CENTER AVE STE 170
JANESVILLE, WI
ZIP 53546-878
Phone: (608) 755-1475
Fax: (608) 755-1733

The provider's authorized official is Shameeka Martin .
The authorized official title is Assistant Executive Director and has the following contact phone number (608) 741-4500.

The CLIA number assigned to this NPI record is 52D2150257 - other - outpatient behavioral with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 2/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility1809WISCONSINNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1809WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142247900MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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