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OLIVINE, S.C.
NPI 1851007132
Clinic/Center - Medical Specialty in Salem, WI

Active since January 30, 2023
7137 236TH AVE, SALEM, WI 53168(262) 800-4672 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olivine, S.c. NPPES

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

OLIVINE, S.C. (NPI 1851007132) is a healthcare organization registered as a medical specialty in Salem, Wisconsin and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Pleasant Prairie and lists Andrea Valeri, Owner/incorporator, as its authorized official.

NPPES Registry Identity

NPI1851007132
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOLIVINE, S.C.
Location Address7137 236TH AVESalem, WI 53168-8975
Mailing Address10278 Cooper RdPleasant Prairie, WI 53158-6524 · (262) 705-3238
Phone(262) 800-4672
Organization SubpartNo
Authorized OfficialAndrea ValeriOwner/incorporator · (262) 705-3238
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1851007132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
7137 236TH AVE, Salem, WI 53168
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Other Names 1

Doing Business AsOlivine, S.c.

Secondary Practice Location 1

Location 110278 Cooper RdPleasant Prairie, WI 53158-6524 · Phone (262) 800-4672

Other Providers at the Same Location NPPES 4

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

JOHNNY PASSARELLI PT, MPT, CSCS, SCS
Physical Therapist
7137 236TH AVE, SUITE 101
SALEM, WI 53168
Kenosha County (262) 925-5060
PADDOCK LAKE FAMILY PRACTICE, SC
Family Medicine
7137 236TH AVE, SUITE 103
SALEM, WI 53168
Kenosha County (262) 843-4422
GINGER BOHN RANDOLPH FNP-C
Nurse Practitioner (Family)
7137 236TH AVE
SALEM, WI 53168
Kenosha County (262) 846-4422
MRS. LEIGH ANN MILLER O.T.R.
Occupational Therapist
7137 236TH AVE, STE 101
SALEM, WI 53168
Kenosha County (262) 925-5060

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 Olivine, S.C.'s NPI number?

The NPI number for Olivine, S.C. is 1851007132. It was assigned to this organization in the NPPES registry on January 30, 2023.

Where is Olivine, S.C. located?

Olivine, S.C. is located at 7137 236th Ave, Salem, WI 53168. The listed phone number is (262) 800-4672.

What is Olivine, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Olivine, S.C. was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.