PREVEA HEALTH - DME WEST DE PERE HEALTH CENTER
NPI 1396874582
Durable Medical Equipment & Medical Supplies in De Pere, WI

NPI Status: Active since March 05, 2007

Contact Information

1686 EISENHOWER RD
DE PERE, WI
ZIP 54115
Phone: (920) 496-4700

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 52D0953792
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-22-2027

About PREVEA HEALTH - DME WEST DE PERE HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Prevea Health - Dme West De Pere Health Center, a provider established in De Pere, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1396874582 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Prevea Health - Dme West De Pere Health Center. The authorized official of this NPI record is Ashok N Rai Md (President & Ceo)

NPI
1396874582
Provider Legal Name
PREVEA CLINIC, INC.
Other Organization Name
PREVEA HEALTH - DME WEST DE PERE HEALTH CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1686 EISENHOWER RD DE PERE, WI 54115
Location Phone
(920) 496-4700
Mailing Address
PO BOX 13008 GREEN BAY, WI 54307
Mailing Phone
(920) 496-4700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2007
Last Update Date
01-12-2022
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

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

ASHOK N RAI MD

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(920) 496-4700

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0953792
Facility Type
Physician Office
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
DR. DAVID SPIKA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Prevea Health - Dme West De Pere Health Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396874582, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 6 + 7 + 8 + 5 + 1 + 6 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1396874582.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Pediatrics
1686 EISENHOWER RD
DE PERE, WI 54115
Pediatrics
1686 EISENHOWER RD
DE PERE, WI 54115
Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Occupational Therapist
1686 EISENHOWER RD
DE PERE, WI 54115
Speech-Language Pathologist
1686 EISENHOWER RD
DE PERE, WI 54115
Family Medicine
1686 EISENHOWER RD
DE PERE, WI 54115
Durable Medical Equipment & Medical Supplies
1686 EISENHOWER RD
DE PERE, WI 54115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396874582, enumerated as an "organization" on March 05, 2007.

The provider is located at 1686 EISENHOWER RD DE PERE, WI 54115 and the phone number is (920) 496-4700.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.