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Organization

DIVINE SAVIOR HEALTHCARE, INC.

Active
Parent organization
DIVINE SAVIOR HEALTHCARE, INC.
Other names
Aspirus Portage Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIVINE SAVIOR HEALTHCARE, INC.
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) 745-4131
(608) 742-6098
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
WI

Other

Enumeration date
10/03/2017
Last updated
02/26/2026
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