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PREVEA HEALTH - DME OCONTO REGIONAL
NPI 1083743272
Durable Medical Equipment & Medical Supplies in Oconto, WI

Active since March 05, 2007CLIA 52D0394523 · Accreditation
620 SMITH AVE, OCONTO, WI 54153(920) 496-4700 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prevea Health - Dme Oconto Regional NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREVEA HEALTH - DME OCONTO REGIONAL (NPI 1083743272) is a healthcare organization registered as a durable medical equipment & medical supplies in Oconto, Wisconsin and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through February 8, 2028 and lists Richard D Rolston, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1083743272
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePREVEA CLINIC, INC.
Location Address620 SMITH AVEOconto, WI 54153-1080
Mailing Address620 Smith AveOconto, WI 54153-1080 · (920) 496-4700
Phone(920) 496-4700
Organization SubpartNo
Authorized OfficialRichard D RolstonPresident & Ceo · (920) 496-4700
Enumeration DateMarch 5, 2007
Last NPPES UpdateNovember 14, 2007
✔ NPI 1083743272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
620 SMITH AVE, Oconto, WI 54153
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Other Names 1

Other NamePrevea Health - Dme Oconto Regional

Other Identifiers 1

Medicare ID-Type Unspecified4260740003

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0394523

Prevea Health - Oconto · Oconto, WI
Active · expires Feb 8, 2028
CLIA Number52D0394523
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorDr. Adam Kuten
Laboratory Phone(920) 834-4110
Laboratory LocationPrevea Health - Oconto620 Smith Ave, Oconto, WI 54153
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER L. MAYER APNP
Nurse Practitioner
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 834-4110
JOHN S HONISH MD
Family Medicine
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 496-4700
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Durable Medical Equipment & Medical Supplies
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 496-4700
SARVADAMAN JEET KUMAR MD
Internal Medicine
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 496-4700
BROOK ANN COOPMAN NP
Nurse Practitioner (Family)
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 834-4110
PREVEA CLINIC, INC.
Durable Medical Equipment & Medical Supplies
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 496-4700
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 834-4110
REBECCA M. VISSERS APNP
Nurse Practitioner (Primary Care)
620 SMITH AVE
OCONTO, WI 54153
Oconto County (920) 496-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prevea Clinic, Inc.'s NPI number?

The NPI number for Prevea Clinic, Inc. is 1083743272. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is also known as Prevea Health - Dme Oconto Regional.

Where is Prevea Clinic, Inc. located?

Prevea Clinic, Inc. is located at 620 Smith Ave, Oconto, WI 54153. The listed phone number is (920) 496-4700.

What is Prevea Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Prevea Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0394523) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prevea Clinic, Inc. was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.