NPIMap

Organization Active NPI

Divine Savior Healthcare

  • Rural Acute Care Hospital
  • Portage, WI
National Provider Identifier
1346543246
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
28-039 Issued in WI
Legal business name
DIVINE SAVIOR HEALTHCARE
Practice address
2817 New Pinery Rd
Suite 103
Portage, WI 53901-9240
Phone
(608) 745-6290
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Allison, LAT
Title
Athletic Training Supervisor
Phone
(608) 745-6290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 28-039 WI Primary

Addresses

Primary practice location

2817 New Pinery Rd
Suite 103
Portage, WI 53901-9240

Mailing address

2817 New Pinery Rd
Suite 103
Portage, WI 53901-9240
Phone (608) 745-6290

Other identifiers 1

IdentifierTypeStateIssuer
11009500MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Divine Savior Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2817 New Pinery Rd
Ste 103
Portage, WI 53901
Phone (608) 745-6211

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1346543246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "address_2": "SUITE 103",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-745-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "address_2": "SUITE 103",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-745-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SAVIOR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ATHLETIC TRAINING SUPERVISOR",
        "authorized_official_telephone_number": "608-745-6290",
        "authorized_official_credential": "LAT"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "WI",
            "license": "28-039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11009500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.