Divine Savior Healthcare

LBN: Divine Savior Healthcare
Divine Savior Healthcare is an health care organization with primary practice located at 2817 New Pinery Rd Suite 103, Portage WI 53901-9240. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Divine Savior Healthcare can be contacted via phone (608) 745-6290, or through Allison, Steve via phone (608) 745-6290.

Contact Information

Primary practice address
2817 New Pinery Rd Suite 103 Portage WI 53901-9240
Phone: (608) 745-6290
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allison, Steve Licensed Athletic Trainer (LAT)
Phone: (608) 745-6290

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 28-039 Wisconsin

Profile Details

NPI number 1346543246
LBN Legal business name Divine Savior Healthcare
DBA Doing business as
Authorized official Allison, Steve Licensed Athletic Trainer (LAT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2010
Last updated Dec 15th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346543246 NPPES
Wisconsin MEDICAID 11009500

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