PREVEA CLINIC, INC. (NPI# 1083743272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083743272 |
| Entity Type | Organization |
| Organization Name | PREVEA CLINIC, INC. |
| Other Organization Name | PREVEA HEALTH - DME OCONTO REGIONAL |
| Practice Address |
620 Smith Ave Oconto WI 54153-1080 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | RICHARD D ROLSTON (PRESIDENT & CEO) |
| Authorized Official Telephone | 9204964700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Prevea Health - DME Oconto Regional | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588110969 | Prevea Clinic, Inc. | Obstetrics & Gynecology | 2449 County Highway I, Chippewa Falls, WI 54729-4410 | 2016-08-26 |
| 1558508119 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 101 School Creek Trl, Luxemburg, WI 54217-1095 | 2009-01-19 |
| 1205965332 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2007-03-05 |
| 1023147154 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 900 S Webster Ave, Green Bay, WI 54301-3508 | 2007-03-05 |
| 1144359431 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2007-03-05 |
| 1396874582 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1686 Eisenhower Rd, De Pere, WI 54115-8145 | 2007-03-05 |
| 1780713339 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 620 Smith Ave, Oconto, WI 54153-1080 | 2007-03-02 |
| 1326177999 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 958 Foote St, Seymour, WI 54165-1044 | 2007-03-02 |
| 1306869276 | Prevea Clinic, Inc. | Allergy & Immunology | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-07-25 |
| Street Address |
620 SMITH AVE |
| City | OCONTO |
| State | WI |
| Zip Code | 54153-1080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255364543 | John S Honish | Family Medicine | 620 Smith Ave, Oconto, WI 54153-1080 | 2006-07-09 |
| 1801459847 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Clinic/Center | 620 Smith Ave, Oconto, WI 54153-1080 | 2019-04-16 |
| 1548616469 | Emily Zellmer | Physician Assistant | 620 Smith Ave, Oconto, WI 54153-1080 | 2016-05-10 |
| 1538542089 | Aliaksandr Trusau | Internal Medicine | 620 Smith Ave, Oconto, WI 54153 | 2015-07-01 |
| 1972836633 | Mark Andrew Fergus | Registered Nurse | 620 Smith Ave, Oconto, WI 54153-1080 | 2009-09-14 |
| 1285863282 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 620 Smith Ave, Oconto, WI 54153-1080 | 2009-07-11 |
| 1053579441 | Heather L. Mayer | Nurse Practitioner | 620 Smith Ave, Oconto, WI 54153-1080 | 2008-06-02 |
| 1780713339 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 620 Smith Ave, Oconto, WI 54153-1080 | 2007-03-02 |
| 1356367163 | Sarvadaman Jeet Kumar | Internal Medicine | 620 Smith Ave, Oconto, WI 54153-1080 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240650 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153 | 2008-03-31 |
| 1912997081 | Benzer Wi 1 LLC | Pharmacy | 1008 Main St, Oconto, WI 54153 | 2005-10-28 |
| 1245758127 | Hayley Joy Maxwell | Counselor | 501 Park Ave, Oconto, WI 54153 | 2017-08-31 |
| 1467879296 | Christopher Hanke | Counselor | 501 Park Ave, Oconto, WI 54153 | 2014-03-18 |
| 1669807020 | Joshua Ammon Weenig | Dentist | 1210 Pecor St, Oconto, WI 54153 | 2013-09-04 |
| 1609050798 | Bellin Psychiatric Center Inc | Clinic/Center | 820 Arbutus Ave, Oconto, WI 54153 | 2007-12-26 |
| 1932252533 | Oconto County Health & Human Services | Registered Nurse | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1841343449 | Oconto County Health & Human Services | Hospice Care, Community Based | 501 Park Ave, Oconto, WI 54153 | 2007-01-19 |
| 1457425951 | Lori Jo Eklund Walsh | Counselor | 820 Arbutus Ave, Oconto, WI 54153 | 2006-11-17 |
| 1356373302 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153 | 2006-07-07 |
| Find all providers in zip 54153 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982922860 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 126 Charles St, Oconto, WI 54153-9446 | 2010-05-17 |
| 1629240650 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153 | 2008-03-31 |
| 1841741683 | Baycare Clinic, LLP | Durable Medical Equipment & Medical Supplies | 530 Smith Ave, Oconto, WI 54153-1010 | 2016-10-17 |
| 1285863282 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Durable Medical Equipment & Medical Supplies | 620 Smith Ave, Oconto, WI 54153-1080 | 2009-07-11 |
| 1780713339 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 620 Smith Ave, Oconto, WI 54153-1080 | 2007-03-02 |
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| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.