NPIMap

Organization Active NPI

Divine Savior Healthcare Inc

  • Non-Pharmacy Dispensing Site
  • Portage, WI
National Provider Identifier
1376974451
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DIVINE SAVIOR HEALTHCARE INC
Practice address
2817 New Pinery Rd
Portage, WI 53901-9240
Phone
(608) 745-6420
NPI assigned
Nov 27, 2013
Organization subpart
Yes
Parent organization
DIVINE SAVIOR HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Abby Swan, RN
Title
Director of Emergency
Phone
(608) 745-6420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2817 New Pinery Rd
Portage, WI 53901-9240

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2525

Other names 1

  • Divine Savior Healthcare - clinic site Other name

National Provider Directory

National Provider Directory
Tax ID family
Divine Savior Hosp9 organizations share this tax ID, including this one
Part of
Divine Savior Hosp

Other organizations with this tax ID 8

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

Locations

6501 City West Pkwy
Eden Prairie, MN 55344
Phone (715) 526-7328

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1376974451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-745-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE SAVIOR HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVINE SAVIOR HEALTHCARE INC",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "DIRECTOR OF EMERGENCY",
        "authorized_official_telephone_number": "608-745-6420",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Savior Healthcare - clinic site",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 27, 2013; 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.