PREVEA HEALTH - DME ST VINCENT
NPI 1205965332
Durable Medical Equipment & Medical Supplies in Green Bay, WI

NPI Status: Active since March 05, 2007

Contact Information

835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 496-4700

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About PREVEA HEALTH - DME ST VINCENT

This page provides the complete NPI Profile along with additional information for Prevea Health - Dme St Vincent, a provider established in Green Bay, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1205965332 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 St Vincent. The authorized official of this NPI record is Ashok Rai Md (President & Ceo)

NPI
1205965332
Provider Legal Name
PREVEA CLINIC, INC.
Other Organization Name
PREVEA HEALTH - DME ST VINCENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
835 S VAN BUREN ST GREEN BAY, WI 54301
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 RAI MD

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

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205965332
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051861036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 6 + 1 + 0 + 3 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1205965332 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1437133931DR. JAY J KURITZ M.D.
Individual
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1205811650DR. JOEL M JOHNSON M.D.
Individual
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 443-0111
1457336620DR. AUSTIN MCGUAN M.D.
Individual
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1669443610 MARK W BERTAGNOLI M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8360
1295706240 JOSEPH M BRAND D.O.
Individual
Pediatrics (Neonatal-Perinatal Medicine)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8360
1104897156 JAMES F WINSTON M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8360
1023065836GREEN BAY ANESTHESIA ASSOC. SC
Organization
Anesthesiology835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1336196062DR. EUGENI T KOUZOV M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8047
1053368795DR. CHARLES F DAIS II M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8047
1023059268 SALLY SCHLISE MD
Individual
Radiology (Radiation Oncology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8184
1497797484 ROBERT L MEREDITH MD
Individual
Nuclear Medicine (Nuclear Imaging & Therapy)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-8180
1902839129 SUSAN MARIE PIECHOWSKI MD
Individual
Hospitalist835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1003831314 MARY LYNN BARTEL MD
Individual
Pediatrics835 S VAN BUREN ST ROOM 1041
GREEN BAY, WI 54301
(920) 496-4700
1528084498 TODD PATRICK GALLION MD
Individual
Hospitalist835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1124044813 RICHARD GLEN POTTS DO
Individual
Internal Medicine (Pulmonary Disease)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1659390300 JOHN R HILL MD
Individual
Pediatrics (Pediatric Hematology-Oncology)835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 496-4700
1326062118 JEANNE MARIE MEIER A.P.N.P.
Individual
Nurse Practitioner835 S VAN BUREN ST PREVEA HEALTH
GREEN BAY, WI 54301
(920) 496-4700
1801908132 HOPE L TRETTIN MS,RD,CDE
Individual
Dietitian, Registered835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1679685903 CONNIE ANNE YOST RD, CD
Individual
Dietitian, Registered835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111
1538271770MS. CHRISTINE ANN WHIPP NP
Individual
Nurse Practitioner835 S VAN BUREN ST
GREEN BAY, WI 54301
(920) 433-0111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205965332, enumerated in the NPI registry as an "organization" on March 05, 2007

The provider is located at 835 S Van Buren St Green Bay, Wi 54301 and the phone number is (920) 496-4700

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on March 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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