Divine Savior Healthcare, Inc.

NPI #1124083894 in Portage, Wisconsin

Provider Information

NPI Number: 1124083894
Entity Type: Organization
Organization Name: Divine Savior Healthcare, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Apr 18, 2006
Last Updated: Aug 22, 2022

Practice Location

Address: 2817 NEW PINERY RD
City: Portage
State: Wisconsin
ZIP Code: 53901-9240
Phone: (608) 742-4131

Authorized Official

Name: MRS. LORI PECK
Title: VP REVENUE CYCLE
Phone: (715) 847-2988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
General Acute Care Hospital	282N00000X

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