Aspirus Keweenaw
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Laurium, MI
NPI 1154480044 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1154480044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 23Z319 (MI)
- Legal business name
- ASPIRUS KEWEENAW
- Practice address
- 205 Osceola Street
Laurium, MI 49913-2134 - Phone
- (906) 337-6500
- Fax
- (906) 337-6597
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Owners & managing parties with NPI records 5
-
Kristen Meske, AGPCNP
-
John Pietila, M.D.
-
Kirk Robert Schott, O.D.
-
Daniel John Lukes, D.O.
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 7
Related certifications (CCN) 3
Facilities with the same owner 79
Practitioners 120
-
Kristen Jahn, MD
-
Michael Roushdy Khalil, M.D., F.A.C.S.
-
Zainab Almahrous, MD
-
Terry Marie Anderson, SLP
-
Todd W Anderson, DO
-
Tatyana G Bombard, D.O
-
Mark Philip Brown, PA-C
-
Kasey J. Burke, FNP-C
-
Derek Bustos, P.T.
-
Meredith Caudill, FNP-C
-
Jessica Caulkins, FNP-C
-
Toni M Clisch, NP-C
-
Sandra L. Coppo, MSW
-
Jasmin J David, CRNA
-
Marilynn S. Dewald, M.D.
-
Helen Domitrovich, APRN, DNP, FNP-C
-
Beau Dupuis, PT, DPT, CSCS
-
Blake Dupuis, PT, DPT
Affiliated clinicians 4
-
Adnan Anwar Malik, M.D.
-
Tina Marie Ploe, NURSE PRACTITIONER
-
Rebecca Rae Ulep, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Hospital certification: CCN 23Z319
- Legal name
- ASPIRUS KEWEENAW
- Doing business as
- ASPIRUS KEWEENAW HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 9, 1908 in MI
- Enrollment address
- 205 Osceola St
Larium, MI 49913-2134
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 | |
| Matthew Krause |
W-2 Managing Employee |
Jan 1, 2022 | |
| Operational/Managerial Control |
Jan 1, 2022 | ||
| Aspirus, Inc |
5% Or Greater Direct Ownership Interest | Aug 1, 2008 | 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 1, 2018 | |
| W-2 Managing Employee |
Sep 1, 2018 | ||
| Operational/Managerial Control |
Sep 1, 2018 | ||
| 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 Officer |
Aug 1, 2014 | |
| W-2 Managing Employee |
Aug 1, 2014 | ||
| Operational/Managerial Control |
Aug 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080125000074 | MI | Part a Provider - Critical Access Hospital | 8123912011 |
Receives reassigned benefits from 3 practitioners Practice locations: Larium, MI |
National Provider Directory
- Tax ID family
- ER Physicians of Keween
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 23Z319 | MI | Yes |
Addresses
Primary practice location
205 Osceola Street
Laurium, MI 49913-2134
Mailing address
205 Osceola Street
Laurium, MI 49913-2134
Phone (906) 337-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00108 | Other | MI | BLUE CROSS |
| 2885646 | Medicaid | MI | |
| S9998 | Other | MI | BLUE CROSS SWING |
Other names
- Aspirus Keweenaw Hospital
Other providers in Laurium, MI
All providers in Laurium, MI · Medicare Defined Swing Bed Hospital Unit in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. 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.