NPIMap

Organization Active NPI

Aspirus Ironwood Hospital & Clinics, Inc.

Doing business as Aspirus Hurley Clinic

  • Rural Health Clinic/Center
  • Hurley, WI
National Provider Identifier
1134547714
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.
Doing business as
Aspirus Hurley Clinic
Practice address
501 Granite St
Hurley, WI 54534-1372
Phone
(906) 561-2255
NPI assigned
Apr 1, 2014
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Jerry M Hack
Title
SVP & Chief Financial Officer
Phone
(715) 847-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

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 2

  • Aspirus Hurley Clinic Doing business as
  • Aspirus Grand View Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134547714. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jun 25, 1991 in MI
Enrollment address
501 Granite St
Hurley, WI 54534-1372
Related CCNs
231333

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Lewis C Tod MD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

501 Granite St
Hurley, WI 54534
Phone (715) 561-2255

Ownership & related parties

All disclosed owners & managing parties 21

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 DirectorBoard Member/Vice Chair Oct 1, 2019
Jerry M Yang Individual Corporate DirectorSVP and Chief Financial Officer Feb 26, 2024
W-2 Managing EmployeeAd; Feb 26, 2024
Operational/Managerial ControlSVP and Chief Financial Officer Feb 26, 2024
Kristen Meske Individual Corporate DirectorBoard Member Oct 1, 2020
Paula Chermside Individual Corporate DirectorCoo Mar 1, 2013
W-2 Managing EmployeeCoo Jan 1, 2013
Aspirus, Inc Organization, Wausau, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Operational/Managerial Control Jul 1, 2015 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 DirectorBoard Member 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 DirectorBoard Member Oct 21, 2019
Charly Loper Individual Corporate DirectorBoard Member Oct 1, 2023
Lori Peck Individual Corporate DirectorVP - Finance Sep 30, 2015
W-2 Managing EmployeeAd; Sep 30, 2015
Operational/Managerial ControlVP-Finance Sep 30, 2015
Hannah Goodman Individual Corporate DirectorBoard Member Oct 1, 2023
Kirk R Schott Individual Corporate DirectorBoard Member Oct 21, 2019
Tyler Hack Individual Corporate DirectorVP - Revenue Cycle Feb 26, 2024
W-2 Managing EmployeeAd; Feb 26, 2024
Operational/Managerial ControlVP - Revenue Cycle Feb 26, 2024
John Pietila Individual Corporate DirectorBoard Member Oct 1, 2022
Christine Harff Individual Corporate Director Jun 24, 2019
W-2 Managing Employee Oct 1, 2019
Operational/Managerial Control Oct 1, 2019
Matthew F Heywood Individual Corporate DirectorCeo Jul 31, 2013

Owners & managing parties with NPI records 5

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

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1134547714",
    "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": "906-561-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GRANITE ST",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341372",
            "telephone_number": "906-561-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "HACK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2526"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Hurley Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Grand View",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hurley, WI

Sources for this page

Verify at the official NPI Registry.