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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