Divine Savior Healthcare Inc in Portage - End-stage Renal Disease (esrd) Treatment
Divine Savior Healthcare Inc - NPI 1275598948
Divine Savior Healthcare Inc is a End-stage Renal Disease (esrd) Treatment in Portage, Wisconsin. Divine Savior Healthcare Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Divine Savior Healthcare Inc is 1275598948. The last update date is 2021-03-16.
Divine Savior Healthcare Inc's current location address is Po Box 387, Portage, Wisconsin. You can contact this provider via phone number 6087424131 and fax number 6087426098. The mailing address for Divine Savior Healthcare Inc is Po Box 387, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Savior Healthcare Inc |
|---|---|
| Address | Po Box 387, Portage, Wisconsin |
| Phone Number | 6087424131 |
| Fax Number | 6087426098 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP REVENUE |
|---|---|
| Authorized Official Name | Peck Lori |
| Telephone Number | 7158472988 |
NPI Number Detail
| NPI Number | 1275598948 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2021-03-16 |
Provider Mailing Address Detail
| Address | Po Box 387 |
|---|---|
| City | Portage |
| State | Wisconsin (WI) |
| Post Code | 539010387 |
| Phone Number | 6087424131 |
| Fax Number | 6087426098 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 3729800 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42060700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Divine Savior Healthcare Inc by the Centers for Medicare & Medicaid Services?
The Divine Savior Healthcare Inc has been issued the NPI (National Provider Identifier) 1275598948 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Divine Savior Healthcare Inc located?
The Divine Savior Healthcare Inc is located at Po Box 387, Portage, WI 539010387.
What is the Divine Savior Healthcare Inc's specialty and taxonomy code?
The Divine Savior Healthcare Inc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
When did the Divine Savior Healthcare Inc receive its 1275598948?
The Divine Savior Healthcare Inc was issued its 1275598948 on 2006-04-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Divine Savior Healthcare Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Divine Savior Healthcare Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-16.
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