Organization
DIVINE SAVIOR HEALTHCARE, INC.
Active
Organization
DIVINE SAVIOR HEALTHCARE, INC.
Active
Other names
Aspirus Divine Savior Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
(608) 745-5061
Mailing address
PO BOX 387, PORTAGE, WI 53901-0387
(608) 742-4131
(608) 742-6098
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
3729800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42060700
—
WI
Enumeration date
04/18/2006
Last updated
02/26/2026
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