NPIMap

Organization Active NPI

Aspirus Keweenaw

Doing business as Aspirus Pharmacy - Ontonagon

  • Pharmacy
  • Ontonagon, MI
National Provider Identifier
1104516376
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ASPIRUS KEWEENAW
Doing business as
Aspirus Pharmacy - Ontonagon
Practice address
601 S 7TH St
Ontonagon, MI 49953-1448
Phone
(906) 884-8000
NPI assigned
May 11, 2023
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

601 S 7TH St
Ontonagon, MI 49953-1448

Mailing address

29980 Network PL
Chicago, IL 60673-1299
Phone (715) 847-2304

Other names 1

  • Aspirus Pharmacy - Ontonagon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080123000612 MI Part A Provider - Critical Access Hospital 8123912011 Receives reassigned benefits from 182 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houghton, MI; Laurium, MI; Ontonagon, MI
O20240402000585 MI Part B Supplier - Pharmacy 8123912011 Practice locations: Ontonagon, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104516376. Details of each certification follow.

Hospital certification: CCN 231319

Legal name
ASPIRUS KEWEENAW
Doing business as
ASPIRUS KEWEENAW HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 1, 2004
Last certification
Jul 16, 2004
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
205 Osceola St
Laurium, MI 49913-2134

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Keweenaw Hospital and ClinicsCCN 231319 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Aspirus Bruce Crossing Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 S 7th St
Rm 5
Ontonagon, MI 49953
Phone (906) 884-8140

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Jennifer Redman-Schell Individual Corporate OfficerVice Chair Oct 1, 2019
Corporate DirectorBoard Member Oct 1, 2019
Jerry M Yang Individual Corporate OfficerSVP and Chief Financial Officer Feb 26, 2023
Corporate DirectorSVP and Chief Financial Officer Feb 26, 2024
W-2 Managing EmployeeSVP and Chief Financial Officer Feb 26, 2024
Operational/Managerial ControlSVP and Chief Financial Officer Feb 26, 2024
Kristen Meske Individual Corporate DirectorBoard Member Oct 1, 2020
Matthew Krause Individual W-2 Managing EmployeeVP-Chief Administrative Officer Jan 1, 2022
Operational/Managerial ControlVP-Chief Administrative Officer Jan 1, 2022
Aspirus, Inc Organization, Wausau, WI Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2008 100%
Robin L Meneguzzo Individual Corporate DirectorBoard Member Oct 1, 2022
Daniel J Lukes Individual Corporate DirectorBoard Member Oct 1, 2019
John Matonich Individual Corporate DirectorBoard Member Oct 1, 2022
Katie Clark Individual Corporate DirectorBoard Member Oct 21, 2019
James Richardson Individual Corporate DirectorVP Operations & Environment (Porcup Oct 1, 2021
Patrick Tincher Individual Corporate DirectorBoard Member Oct 1, 2020
Richard Koubek Individual Corporate DirectorBoard Member Oct 1, 2020
Jonathan N Brueggeman Individual Corporate DirectorInterim Cmo Oct 21, 2019
Lori Peck Individual Corporate DirectorVP - Finance Sep 30, 2015
W-2 Managing EmployeeVP - Finance Sep 30, 2015
Operational/Managerial ControlVP-Finance Sep 30, 2015
Kirk R Schott Individual Corporate DirectorBoard Member Oct 21, 2019
Tyler Hack Individual Corporate OfficerVP-Revenue Cycle Feb 26, 2024
Corporate DirectorVP - Revenue Cycle Feb 26, 2024
W-2 Managing EmployeeVP - Revenue Cycle Feb 26, 2024
Operational/Managerial ControlVP - Revenue Cycle Feb 26, 2024
John Pietila Individual Corporate DirectorBoard Member Oct 1, 2022
Christine Harff Individual Corporate DirectorBoard Member Oct 1, 2019
Matthew F Heywood Individual Corporate DirectorBoard Member Jan 1, 2014

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

Affiliated clinicians 103

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

View all 103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1104516376",
    "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": "715-847-2304",
            "fax_number": "715-843-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 7TH ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531448",
            "telephone_number": "906-884-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS KEWEENAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Pharmacy - Ontonagon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Pharmacy - Ontonagon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontonagon, MI

Sources for this page

Verify at the official NPI Registry.