NOVACARE CLINIC
NPI 1255662789
Clinic/Center in Kaukauna, WI

Active since January 22, 2010
120 E 2ND ST, KAUKAUNA, WI 54130(920) 737-6475(920) 766-8088 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About NOVACARE CLINIC

This page provides the complete NPI Profile along with additional information for Novacare Clinic, a provider established in Kaukauna, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255662789 assigned on January 2010. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Novacare Clinic. The authorized official of this NPI record is Lisa Guo (President)

NPI
1255662789 Verify this NPI
Provider Legal Name
DG BROTHERS, INC.
Other Organization Name
NOVACARE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
120 E 2ND ST KAUKAUNA, WI 54130
Location Phone
(920) 737-6475
Location Fax
(920) 766-8088
Mailing Address
P.O. 0177 DE PERE, WI 54130
Mailing Phone
(920) 766-8080
Mailing Fax
(920) 766-8088
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2010
Last Update Date
04-19-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA GUO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(920) 766-8080

Reviews for NOVACARE CLINIC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255662789, enumerated as an "organization" on January 22, 2010.

The provider is located at 120 E 2ND ST KAUKAUNA, WI 54130 and the phone number is (920) 737-6475.

Clinic/Center with taxonomy code 261Q00000X.