# DIVINE SAVIOR HEALTHCARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIVINE SAVIOR HEALTHCARE INC
- **Other names:** Divine Savior Healthcare - clinic site
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376974451
- **Legal business name:** DIVINE SAVIOR HEALTHCARE INC
- **Authorized official:** ABBY SWAN RN (DIRECTOR OF EMERGENCY)
- **Authorized official phone:** (608) 745-6420

## Contact information

- **Practice address:** 2817 NEW PINERY RD, PORTAGE, WI 53901-9240
- **Practice address phone:** (608) 745-6420
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
- **Mailing address phone:** (952) 653-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2013
- **Last updated:** 11/27/2013