Organization · Type 2 NPI

Divine Savior Healthcare, Inc.

Rural Health Clinic/Center · Pardeeville, WI

NPI number 1861904294 Active

Practice location

102 Gillette Street
Pardeeville, WI 53954

Call (608) 429-2185 Map

Fax (608) 429-3966

Mailing address

2817 New Pinery Road
Portage, WI 53901-0387

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1861904294
Entity type: Organization (Type 2)
Issued: Oct 25, 2017
Last updated: Aug 26, 2020
Status: Active
Subpart: Yes of Divine Savior Healthcare, Inc.

Other names

<unavail>
Aspirus Pardeeville Clinic · doing business as

Authorized official

Mrs. Lori Peck
VP Revenue Cycle
(715) 847-2988

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861904294

Divine Savior Healthcare, Inc.'s National Provider Identifier is 1861904294, issued on Oct 25, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Pardeeville, WI. The record was last updated on Aug 26, 2020.