Organization
DIVINE SAVIOR HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE PRIEVE (PATIENT FINCACIAL SUPERVISOR)
(608) 745-5006
Entity
Organization
Contact information
Practice address
2817 NEW PINERY RD STE 103, PORTAGE, WI 53901-9240
(608) 745-6290
Mailing address
2817 NEW PINERY RD STE 103, PORTAGE, WI 53901-9240
(608) 745-6290
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
28-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11009500
—
WI
Enumeration date
12/15/2010
Last updated
12/15/2010
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