Aspirus Ironwood Hospital & Clinics, Inc.
Organization Active NPI Rural Health Clinic/Center · Hurley, WI
NPI 1134547714 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1134547714
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.
- Practice address
- 501 Granite St
Hurley, WI 54534-1372 - Phone
- (906) 561-2255
- NPI assigned
- Apr 1, 2014
- Organization subpart
- No
Authorized official
- Name
- Jerry M Hack
- Title
- SVP & Chief Financial Officer
- Phone
- (715) 847-2526
Owners & managing parties with NPI records 5
-
Daniel John Lukes, D.O.
-
Kristen Meske, AGPCNP
-
John Pietila, M.D.
-
Kirk Robert Schott, O.D.
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 10
Member of 2
Related certifications (CCN) 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Rural health clinic certification: CCN 528560
- Legal name
- ASPIRUS IRONWOOD HOSPITAL & CLINICS INC
- Doing business as
- ASPIRUS HURLEY CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 16, 2013
- Last certification
- Dec 16, 2013
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 25, 1991 in MI
- Enrollment address
- 501 Granite St
Hurley, WI 54534-1372 - Related CCNs
- 231333
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Redman-Schell |
Corporate Director |
Oct 1, 2019 | |
| Jerry M Yang |
Corporate Director |
Feb 26, 2024 | |
| W-2 Managing Employee |
Feb 26, 2024 | ||
| Operational/Managerial Control |
Feb 26, 2024 | ||
| Kristen Meske |
Corporate Director |
Oct 1, 2020 | |
| Paula Chermside |
Corporate Director |
Mar 1, 2013 | |
| W-2 Managing Employee |
Jan 1, 2013 | ||
| Aspirus, Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2015 | 100% |
| Operational/Managerial Control | Jul 1, 2015 | 100% | |
| Robin L Meneguzzo |
Corporate Director |
Oct 1, 2022 | |
| Daniel J Lukes |
Corporate Director |
Oct 1, 2019 | |
| John Matonich |
Corporate Director |
Oct 1, 2022 | |
| Katie Clark |
Corporate Director |
Oct 21, 2019 | |
| James Richardson |
Corporate Director |
Oct 1, 2021 | |
| Patrick Tincher |
Corporate Director |
Oct 1, 2020 | |
| Richard Koubek |
Corporate Director |
Oct 1, 2020 | |
| Jonathan N Brueggeman |
Corporate Director |
Oct 21, 2019 | |
| Charly Loper |
Corporate Director |
Oct 1, 2023 | |
| Lori Peck |
Corporate Director |
Sep 30, 2015 | |
| W-2 Managing Employee |
Sep 30, 2015 | ||
| Operational/Managerial Control |
Sep 30, 2015 | ||
| Hannah Goodman |
Corporate Director |
Oct 1, 2023 | |
| Kirk R Schott |
Corporate Director |
Oct 21, 2019 | |
| Tyler Hack |
Corporate Director |
Feb 26, 2024 | |
| W-2 Managing Employee |
Feb 26, 2024 | ||
| Operational/Managerial Control |
Feb 26, 2024 | ||
| John Pietila |
Corporate Director |
Oct 1, 2022 | |
| Christine Harff |
Corporate Director | Jun 24, 2019 | |
| W-2 Managing Employee | Oct 1, 2019 | ||
| Operational/Managerial Control | Oct 1, 2019 | ||
| Matthew F Heywood |
Corporate Director |
Jul 31, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000462 | WI | Part B Supplier - Clinic/Group Practice | 9032013198 |
Receives reassigned benefits from 3 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hurley, WI |
| O20130114000062 | WI | Part a Provider - Rural Health Clinic | 9032013198 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hurley, WI |
National Provider Directory
- Tax ID family
- Lewis C Tod MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
501 Granite St
Hurley, WI 54534-1372
Mailing address
29980 Network PL
Chicago, IL 60673-1299
Phone (906) 561-2255
Other names
- Aspirus Hurley Clinic
- Aspirus Grand View
Other providers in Hurley, WI
- Benita R Allen
- Kierstin Andresen
- Aspirus Grand View Service Corporation
- Aspirus Ironwood Hospital & Clinics, Inc.
- Chelsea Rose Benson
- Mark Wesley Bolen
- Cally Bucknell
- Laura Katherine Burt
All providers in Hurley, WI · Rural Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.