DIVINE SAVIOR HEALTHCARE, INC. (NPI# 1942712344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942712344 |
| Entity Type | Organization |
| Organization Name | DIVINE SAVIOR HEALTHCARE, INC. |
| Other Organization Name | ASPIRUS OXFORD CLINIC |
| Practice Address |
N4390 Crossroads Clinic Road Oxford WI 53952 |
| Mailing Address |
2817 New Pinery Road Portage WI 53901-0387 |
| Practice Telephone | 6085895333 |
| Practice Fax Number | 6087426098 |
| Mailing Telephone | 6087455603 |
| Mailing Fax Number | 6087426098 |
| Enumeration Date | 2017-10-26 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32767300 | 05 |
| Other Name | Type Code |
|---|---|
| ASPIRUS OXFORD CLINIC | Doing Business As Name - Organization |
| Divine Savior Healthcare - Crossroads Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1124083894 | Divine Savior Healthcare, Inc. | General Acute Care Hospital | 2817 New Pinery Rd, Portage, WI 53901-0387 | 2006-04-18 |
| Street Address |
N4390 CROSSROADS CLINIC ROAD |
| City | OXFORD |
| State | WI |
| Zip Code | 53952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601198 | Rose Nelson | Technician | 3007 2nd Ave, Oxford, WI 53952 | 2020-05-20 |
| 1649682832 | Cari Ritter | Physician Assistant | Cty Rd G & Elk Ave, Oxford, WI 53952 | 2014-05-22 |
| 1437343118 | Kimberly Melissa Klitzke | Physical Therapist | N4390 Crossroads Clinic Rd, Oxford, WI 53952 | 2007-09-05 |
| 1578647046 | James D Govoni | Dentist | N 4390 Crossroads Clinic Rd, Oxford, WI 53952 | 2006-10-24 |
| 1710177340 | Laura M Shaw | Nurse Practitioner | 309 Freedom Rd, Oxford, WI 53952-9309 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235333 | Ann Elizabeth Sutherland | Pharmacist | 9038 Coatbridge Dr, Oxford, MS 38655-7396 | 2020-11-05 |
| 1447850508 | Butler County Community Health Consortium, Inc. | Counselor | 3260 Oxford Millville Rd Ste B, Oxford, OH 45056-9430 | 2020-10-28 |
| 1174123566 | Lisa Kincaid Odom | Pharmacist | 218 Woodland Hills Dr, Oxford, MS 38655-9770 | 2020-10-27 |
| 1962001693 | Joseph Prendergast | Nurse Practitioner | 5 Jasmine Rd, Oxford, MA 01540-3304 | 2020-10-23 |
| 1841899978 | Kbccms, LLC | Counselor | 1501 Jackson Ave W Ste 113, Oxford, MS 38655-2566 | 2020-10-20 |
| 1508464181 | Meredith Sanford | Pediatrics | 101 Farm View Dr, Oxford, MS 38655-7728 | 2020-10-15 |
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1558968180 | Caremed Ems, LLC | Ambulance | 1300 Access Rd Ste 200, Oxford, MS 38655-5211 | 2020-10-06 |
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1215542592 | Christine King | Psychologist | 4200 Lake Knolls Dr, Oxford, MI 48371-5411 | 2020-09-13 |
| Find all providers in OXFORD | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824280 | Pontotoc Health Services, Inc. | Clinic/Center | 2161 South Lamar Boulevard, Oxford, MS 38655 | 2014-09-19 |
| 1811999055 | Granville Health System | Clinic/Center | 110 Professional Park Drive, Oxford, NC 27565-2756 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123218 | Mchs Hospitals, Inc. | Clinic/Center | 3606 Schneider Ave Se, Menomonie, WI 54751-5674 | 2020-01-13 |
| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| 1851345268 | Amery Regional Medical Center, Inc. | Clinic/Center | 137 First Ave, Luck, WI 54853-9057 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
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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.