PREVEA CLINIC INC. NPI 1083743272

NPI Information

NPI: 1083743272
Provider Name: PREVEA CLINIC, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Other Name: PREVEA HEALTH - DME OCONTO REGIONAL
Address: 620 SMITH AVE
OCONTO, WI
ZIP 54153
Phone: (920) 496-4700

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NPI Details

PREVEA CLINIC, INC. is a durable medical equipment medical supplies in Oconto, WI. The provider is 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. PREVEA CLINIC, INC. NPI is 1083743272. The provider is registered as an organization entity type.
The provider Other Name Is Prevea Health - Dme Oconto Regional.

The provider's business location address is:

620 SMITH AVE
OCONTO, WI
ZIP 54153-080
Phone: (920) 496-4700

The provider's authorized official is Richard D Rolston .
The authorized official title is President & Ceo and has the following contact phone number (920) 496-4700.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/14/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4260740003	MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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