PREVEA CLINIC, INC. NPI 1023147154

Durable Medical Equipment & Medical Supplies in Green Bay, WI

About PREVEA CLINIC, INC.

Prevea Clinic, Inc. is a provider in Green Bay, WI. The NPI number assigned to this provider is 1023147154. The practitioner's primary taxonomy code is Durable Medical Equipment & Medical Supplies (332B00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Prevea Health - Dme Webster Health Center.

NPI1023147154 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePREVEA CLINIC, INC.
Provider Location Address900 S WEBSTER AVE GREEN BAY, WI 54301 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address900 S WEBSTER AVE GREEN BAY, WI 54301 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NamePREVEA HEALTH - DME WEBSTER HEALTH CENTER Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeOther Name (5)
Enumeration Date03-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-14-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PREVEA CLINIC, INC.
900 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 496-4700
Get Directions

Mailing Address

PREVEA CLINIC, INC.
900 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 496-4700

Primary Taxonomy

Taxonomy Code332B00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official Name RICHARD D ROLSTON MD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT & CEO
Authorized Official Phone(920) 496-4700

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4170460002MEDICARE ID-TYPE UNSPECIFIED (04)

Map Location


PREVEA CLINIC, INC. address is 900 S WEBSTER AVE GREEN BAY, WI 54301

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053412148 KAREN ANN KINI P.T.
Individual
Physical Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1063439560ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Organization
Home Health900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 448-7000
1194743435 MARK ROBERT SCHICK MD
Individual
Orthopaedic Surgery900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1215014279MR. RICHARD KEVIN MCNUTT MD
Individual
Surgery900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 965-7411
1295836229 LINDA C RABE O.T.R.
Individual
Occupational Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1295836310MRS. REBECCA J HABETLER OTR
Individual
Occupational Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1437173127 KRISTEN S RODEHEAVER APNP
Individual
900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1487676979 DAWN MARGARET NISSEN APNP
Individual
900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1548361561 TERESA LYNN KNIESS O.T.R.
Individual
Occupational Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1568563500 NICOLE KRISTINE SKALETSKI P.T.
Individual
Physical Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1649296518 THOMAS MICHAEL FLORACK MD
Individual
Orthopaedic Surgery900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1659304046 JENNIFER ANN BURNS MD
Individual
Urology900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1699876631MRS. MARIA CATHERINE HANSTEDT MA, CCC/SLP
Individual
Speech-Language Pathologist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1770684854 KATHERINE A CHASE P.T.
Individual
Physical Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1801829213 DANIEL L DEGROOT MD
Individual
Urology900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1952329294 CHARLES WALTER SALETTA MD
Individual
Surgery900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1952402059 PATRICIA L MILLER P.T.
Individual
Physical Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1972714285DR. JOHN HUTTO MD
Individual
Surgery (Vascular Surgery)900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 496-4700
1982705935 PATRICIA J GRAUL
Individual
Speech-Language Pathologist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 433-0111
1982853156MR. SEAN MICHAEL FRENCH MPT
Individual
Physical Therapist900 S WEBSTER AVE
GREEN BAY, WI 54301
(920) 639-9174