DIVINE SAVIOR HEALTHCARE, INC. (NPI# 1124083894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124083894 |
| Entity Type | Organization |
| Organization Name | DIVINE SAVIOR HEALTHCARE, INC. |
| Other Organization Name | ASPIRUS DIVINE SAVIOR HOSPITAL |
| Practice Address |
2817 New Pinery Rd Portage WI 53901-0387 |
| Mailing Address |
Po Box 387 2817 New Pinery Rd Portage WI 53901-0387 |
| Practice Telephone | 6087424131 |
| Practice Fax Number | 6087426098 |
| Mailing Telephone | 6087424131 |
| Mailing Fax Number | 6087426098 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | MRS. LORI PECK (VP REVENUE CYCLE) |
| Authorized Official Telephone | 7158472988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 3729800 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | INDIVIDUAL PHYSICIAN NPI | 1659589653 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1174508261 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1336122506 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1699959593 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1023054137 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1144203381 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1376527002 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1497738637 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1689657827 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1871576017 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1881677011 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1073596235 | 01 |
| WI | 11009500 | 05 | |
| WV | INDIVIDUAL PHYSICIAN NPI | 1437132669 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1619966058 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1457334468 | 01 |
| WI | INDIVIDUAL PHYSICIAN NPI | 1537142765 | 01 |
| Other Name | Type Code |
|---|---|
| Aspirus Divine Savior Hospital | Doing Business As Name - Organization |
| Aspirus Oxford Clinic | Doing Business As Name - Organization |
| Aspirus Pardeeville Clinic | Doing Business As Name - Organization |
| Aspirus Portage Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| N4390 Crossroads Clinic Rd, Oxford, WI 539529465 | 6085895333 | 6085895388 |
| 102 Gillette St, Pardeeville, WI 539549317 | 6084292185 | 6087426098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1831693100 | Divine Savior Healthcare, Inc. | Pharmacy | 2817 New Pinery Road, Portage, WI 53901 | 2018-03-21 |
| 1386154417 | Divine Savior Healthcare, Inc. | Clinic/Center | 2817 New Pinery Road, Portage, WI 53901-0387 | 2017-10-03 |
| 1710133095 | Divine Savior Healthcare, Inc. | Pharmacy | 2817 New Pinery Rd, Portage, WI 53901-9257 | 2008-08-18 |
| Street Address |
2817 NEW PINERY RD |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-0387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506307 | James T Gariti Sr. | Emergency Medicine | 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901-9257 | 2005-11-22 |
| 1881208635 | Sophie M Tessner | Pharmacist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-08-31 |
| 1164047015 | Stephanie Jo Holt | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-06-16 |
| 1770132268 | Anna Carole Hormig | Registered Nurse | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-09-06 |
| 1790338655 | Andrea Olsen | Occupational Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-19 |
| 1316590417 | Nicole Rae Sletten | Occupational Therapy Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-18 |
| 1851944078 | Andrew Larson | Physical Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-17 |
| 1780236067 | Danielle Debruyne | Physical Therapist | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-07-16 |
| 1063077055 | Dillon Via | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-05-06 |
| 1659843886 | Andrew Benton Padley | Registered Nurse | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548517865 | Terrel A Steinhaus | General Acute Care Hospital | N9074 Corning Rd, Portage, WI 53901-9469 | 2012-08-06 |
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|---|---|---|---|---|
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| 1225635592 | Ascension Wisconsin Emerus Menomonee Falls, LLC | General Acute Care Hospital | 2304 W Saint Paul Ave Ste 100, Waukesha, WI 53188-5942 | 2020-10-08 |
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1952921405 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 2720 Plaza Dr Ste 1400, Wausau, WI 54401-4166 | 2020-04-24 |
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1952809816 | Mchs Hospitals, Inc. | General Acute Care Hospital | 2310 Craig Rd, Eau Claire, WI 54701-6128 | 2018-01-25 |
| 1003349028 | Ditte Primdahl | General Acute Care Hospital | 1685 Highland, Madison, WI 53705-2281 | 2017-04-06 |
| 1194278952 | Aurora Health Care | General Acute Care Hospital | 9200 W Loomis Rd Ste 107, Franklin, WI 53132-9621 | 2016-07-28 |
| 1093171498 | Mchs Hospitals, Inc. | General Acute Care Hospital | 1001 N. Oak Ave, Marshfield, WI 54449 | 2016-01-14 |
| 1841656188 | Wheaton Franciscan Home Health | General Acute Care Hospital | 4300 Brown Deer Road, Brown Deer, WI 53223-2410 | 2015-12-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.