DIVINE SAVIOR HEALTHCARE (NPI# 1346543246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346543246 |
| Entity Type | Organization |
| Organization Name | DIVINE SAVIOR HEALTHCARE |
| Practice Address |
2817 New Pinery Rd Suite 103 Portage WI 53901-9240 |
| Practice Telephone | 6087456290 |
| Mailing Telephone | 6087456290 |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | STEVE ALLISON (ATHLETIC TRAINING SUPERVISOR) |
| Authorized Official Telephone | 6087456290 |
| Authorized Official Credential | LAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
28-039 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11009500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740545730 | Divine Savior Healthcare | General Acute Care Hospital | W6412 Military Rd, Dalton, WI 53926-9330 | 2012-07-06 |
| 1700189602 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9240 | 2010-12-15 |
| Street Address |
2817 NEW PINERY RD SUITE 103 |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-9240 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700189602 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9240 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326437294 | Mjcare | General Acute Care Hospital | 325 E. Iola St., Iola, WI 54945 | 2015-01-15 |
| 1699014571 | Monroe Clinic | General Acute Care Hospital | 2714 Yahara Rd, Stoughton, WI 53589-3369 | 2013-02-12 |
| 1740545730 | Divine Savior Healthcare | General Acute Care Hospital | W6412 Military Rd, Dalton, WI 53926-9330 | 2012-07-06 |
| 1689825630 | Jeanne Louise Sammartino | General Acute Care Hospital | 4231 Griffith Ave, Wisconsin Rapids, WI 54494-2706 | 2008-10-08 |
| 1942651401 | Thedacare | General Acute Care Hospital | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-06-27 |
| 1477901833 | Thedacare Medical Center Berlin | General Acute Care Hospital | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-05-26 |
| 1801270061 | Cumberland Healthcare | General Acute Care Hospital | 1100 7th Ave, Cumberland, WI 54829-9138 | 2015-07-16 |
| 1790173573 | James Bacon | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2015-01-02 |
| 1164752648 | Vernon Memorial Healthcare, Inc. | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2010-01-06 |
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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.