DIVINE SAVIOR HEALTHCARE, INC.; NPI #1942712344

Contact Information

DIVINE SAVIOR HEALTHCARE, INC.

N4390 CROSSROADS CLINIC ROAD
OXFORD, WI 53952

Phone: 608-589-5333
Fax: 608-742-6098
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for DIVINE SAVIOR HEALTHCARE, INC.

NPI Number 1942712344

LBN Legal business name DIVINE SAVIOR HEALTHCARE, INC.

Authorized official LORI PECK - (SVP- CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2017

Last updated 02/26/2026 - About 3 months ago

Identifiers

Medicaid

32767300

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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