OrganizationActive
Roots4change Coop
NPI 1730915190 · Community Health Clinic/Center · Madison, WI
Roots4change Coop is a Community Health Clinic/Center organization in Madison, WI (NPI 1730915190).
Provider details
- NPI number
- 1730915190
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Valencia, President(704) 884-5284
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 E Washington Ave Ste 102
Madison, WI 53703-2958
Phone: (904) 385-8151
Street-level locationGet directions
Mailing address
701 E Washington Ave Ste 102
Madison, WI 53703-2958
Registry dates
- Enumerated
- 2024-09-11
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Roots4change Coop's NPI number?
- Roots4change Coop's National Provider Identifier (NPI) is 1730915190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roots4change Coop?
- Roots4change Coop is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Roots4change Coop located?
- Roots4change Coop's practice location on file with NPPES is 701 E Washington Ave Ste 102, Madison, WI 53703-2958.
- What is Roots4change Coop's phone number?
- The practice phone number listed in the NPPES registry for Roots4change Coop is (904) 385-8151.
- Who is the authorized official for Roots4change Coop?
- The authorized official listed on Roots4change Coop's NPPES record is Jennifer Valencia, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roots4change Coop's NPI active?
- Yes — Roots4change Coop's NPI (1730915190) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.