Divine Savior Healthcare Pharmacy, Long Term Care

LBN: Divine Savior Healthcare, Inc.
Divine Savior Healthcare Pharmacy, Long Term Care is an health care organization with primary practice located at 2817 New Pinery Road , Portage WI 53901. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Divine Savior Healthcare, Inc. can be contacted via phone (608) 745-5603, or through Nelson, Marlin D via phone (608) 745-5610.

Contact Information

Primary practice address
2817 New Pinery Road Portage WI 53901
Phone: (608) 745-5603
Fax: (608) 742-6098
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Marlin D
Phone: (608) 745-5610

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X Wisconsin

Profile Details

NPI number 1831693100
LBN Legal business name Divine Savior Healthcare, Inc.
DBA Doing business as Divine Savior Healthcare Pharmacy, Long Term Care
Authorized official Nelson, Marlin D
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2018
Last updated Mar 21st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831693100 NPPES
Wisconsin MEDICAID 33113100

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