NPIMap

Lake View Memorial Hospital, Inc

Organization Active NPI Critical Access Hospital · Two Harbors, MN

NPI 1023067642 · NPPES record last updated Mar 11, 2026

Key facts

NPI
1023067642
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
331064 (MN)
Legal business name
LAKE VIEW MEMORIAL HOSPITAL, INC
Practice address
325 11TH Ave
Two Harbors, MN 55616-1300
Phone
(218) 834-7300
Fax
(218) 834-7388
NPI assigned
May 9, 2006
Organization subpart
No

Authorized official

Name
Lori Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 79

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 79

Practitioners 120

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 120

Affiliated clinicians 149

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 149

Medicare Care Compare: Hospital

Listed as
Aspirus Lake View Hospital CCN 241308
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Hospital certification: CCN 241308

Legal name
LAKE VIEW MEMORIAL HOSPITAL, INC
Doing business as
ASPIRUS LAKE VIEW HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2000
Last certification
May 2, 2024
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Nov 16, 1953 in MN
Enrollment address
325 11TH Ave
Two Harbors, MN 55616-1300
Main/Primary Hospital Location

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Hogenson
Individual 		Corporate Director
Board Member		 Jan 27, 2016
Jerry M Yang
Individual 		Corporate Officer
SVP & Chief Financial Officer		 Mar 1, 2024
W-2 Managing Employee
SVP & Chief Financial Officer		 Mar 1, 2024
Nathan J Cavallin
Individual 		Corporate Director
Director-Finance		 Jun 1, 2017
W-2 Managing Employee
Director-Finance		 Jun 1, 2017
Kiera Marie Wilson
Individual 		Corporate Director
Board Member		 May 26, 2021
Chris L Brelie
Individual 		Corporate Director
Board Member		 May 26, 2021
Janelle Jones
Individual 		Corporate Director
Board Member		 Jan 28, 2015
Aspirus, Inc
Organization · Wausau, WI
Corporation, Non-profit, Chain home office 		Operational/Managerial Control Mar 1, 2024
Greg G Ruberg
Individual 		Corporate Officer
President/Ceo		 Jul 12, 2014
Kevin Beardsley
Individual 		Corporate Director
Board Member		 Jan 1, 2010
St. Luke'S Hospital of Duluth
Organization · Duluth, MN 		5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Joyce Scott
Individual 		Corporate Director
Board Member		 May 20, 2020
Wade Leblanc
Individual 		Corporate Director
Boad Member		 Jun 1, 2012
Lori Peck
Individual 		W-2 Managing Employee
VP - Finance		 Mar 1, 2024
Kelsey M Schultz
Individual 		Corporate Officer
Board Member		 Apr 23, 2023
Tyler Hack
Individual 		W-2 Managing Employee
VP - Revenue Cycle		 Mar 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040206000105 MN Part B Supplier - Clinic/Group Practice 9032002688 Receives reassigned benefits from 116 practitioners
4 other NPIs on this enrollment
Practice locations: Two Harbors, MN
O20061104000685 MN Part a Provider - Critical Access Hospital 9032002688 Receives reassigned benefits from 90 practitioners
2 other NPIs on this enrollment
Practice locations: Silver Bay, MN; Two Harbors, MN

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: erin.steinke.steeri@lkv.direct.slhduluth.com
  • Direct secure messaging: minda.liu.liumin@lkv.direct.slhduluth.com
  • Direct secure messaging: amy.suomi@lkv.direct.slhduluth.com
  • Direct secure messaging: john.baga.bagjo@lkv.direct.slhduluth.com
  • Direct secure messaging: adam.elisha@lkv.direct.slhduluth.com
  • Direct secure messaging: stephanie.wallace.wallst@lkv.direct.slhduluth.com
  • Direct secure messaging: kari.olson.olskar@lkv.direct.slhduluth.com
  • Direct secure messaging: lynn.stottler.stolm@lkv.direct.slhduluth.com
  • Direct secure messaging: karen.roehl.kxrl12@lkv.direct.slhduluth.com
  • Direct secure messaging: kevin.brady.brake@lkv.direct.slhduluth.com
  • Direct secure messaging: dania.kamp.kamda@lkv.direct.slhduluth.com
  • Direct secure messaging: brigid.pajunen@lkv.direct.slhduluth.com
  • Direct secure messaging: alexa.sinner.sinale@lkv.direct.slhduluth.com
  • Direct secure messaging: erica.bowman.ekbl06@lkv.direct.slhduluth.com
  • Direct secure messaging: kathryn.welles.welka@lkv.direct.slhduluth.com
  • Direct secure messaging: robert.payne.payrob@lkv.direct.slhduluth.com
  • Direct secure messaging: adam.weber.webada@lkv.direct.slhduluth.com
  • Direct secure messaging: fayja.lichtenberg.licfay@lkv.direct.slhduluth.com
  • Direct secure messaging: charles.tabor.tabcha@lkv.direct.slhduluth.com
  • Direct secure messaging: zoe.avestruz.avezoe@lkv.direct.slhduluth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X
Critical Access Hospital 282NC0060X 331064 MN Yes

Addresses

Primary practice location

325 11TH Ave
Two Harbors, MN 55616-1300

Mailing address

29980 Network PL
Chicago, IL 60673-1299
Phone (218) 834-7300

Other identifiers

IdentifierTypeStateIssuer
739045900MedicaidMN
1886HLAOtherMNBLUE CROSS MINNESOTA
2718OtherHEALTHPARTNERS
5000116OtherMEDICA
UCAREOtherMNUCARE MINNESOTA
01016526OtherMNPREFERRED ONE

Other names

  • Aspirus Lake View Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2026.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1023067642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29980 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "218-834-7300",
            "fax_number": "218-834-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7300",
            "fax_number": "218-834-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2575"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "331064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739045900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MINNESOTA",
            "identifier": "1886HLA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "2718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5000116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "UCARE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01016526",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Lake View Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Two Harbors, MN

All providers in Two Harbors, MN · Critical Access Hospital in Minnesota

Sources for this page

Verify at the official NPI Registry.