NPIMap

Organization Active NPI

Aspirus Keweenaw

Doing business as Aspirus Houghton Clinic

  • Rural Health Clinic/Center
  • Houghton, MI
National Provider Identifier
1215092572
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASPIRUS KEWEENAW
Doing business as
Aspirus Houghton Clinic
Practice address
1000 Cedar St
Houghton, MI 49931-1978
Phone
(906) 487-1710
Fax
(906) 487-9421
NPI assigned
Dec 27, 2006
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
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1000 Cedar St
Houghton, MI 49931-1978

Mailing address

1000 Cedar St
Houghton, MI 49931-1978
Phone (906) 487-1710

Other names 1

  • Aspirus Houghton Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040211000763 MI Part B Supplier - Clinic/Group Practice 8123912011 Receives reassigned benefits from 210 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houghton, MI; Ontonagon, MI; Laurium, MI; Lanse, MI; Lake Linden, MI; Calumet, MI
O20081202000216 MI Part A Provider - Rural Health Clinic 8123912011 Practice locations: Houghton, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215092572. Details of each certification follow.

Rural health clinic certification: CCN 238617

Legal name
ASPIRUS KEWEENAW
Doing business as
ASPIRUS HOUGHTON CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 17, 2008
Last certification
Jul 13, 2016
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1908 in MI
Enrollment address
1000 Cedar St
Houghton, MI 49931-1978
Related CCNs
231319

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 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0382367Aspirus Houghton Clinic Laboratory1000 Cedar Street, Houghton, MI 49931Provider-performed microscopyApr 24, 2027

National Provider Directory

National Provider Directory

Locations

110 Calumet St
Lake Linden, MI 49945
Phone (906) 296-5040

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

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 DirectorVice-Chairperson Oct 1, 2019
Jerry M Yang Individual Corporate DirectorSVP and Chief Financial Officer Feb 26, 2024
W-2 Managing EmployeeSVP and Chief Financial Offic 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 Nov 20, 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 DirectorSecretary Oct 21, 2019
James Richardson Individual Corporate DirectorBoard Member Oct 1, 2020
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 EmployeeVP-Finance 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 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 Jun 24, 2019
W-2 Managing Employee Oct 1, 2019
Operational/Managerial Control Oct 1, 2019
Matthew F Heywood Individual Corporate Officer Aug 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.

Facilities with the same owner 79

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

View all 79

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1215092572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CEDAR ST",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311978",
            "telephone_number": "906-487-1710",
            "fax_number": "906-487-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CEDAR ST",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311978",
            "telephone_number": "906-487-1710",
            "fax_number": "906-487-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS KEWEENAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Houghton Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Houghton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houghton, MI

Sources for this page

Verify at the official NPI Registry.