Aspirus Keweenaw
Organization Active NPI Rural Health Clinic/Center · Houghton, MI
NPI 1215092572 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1215092572
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ASPIRUS KEWEENAW
- Practice address
- 1000 Cedar St
Houghton, MI 49931-1978 - Phone
- (906) 487-1710
- Fax
- (906) 487-9421
- NPI assigned
- Dec 27, 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 on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 6
Related certifications (CCN) 3
Facilities with the same owner 79
Practitioners 124
-
Sandra L. Coppo, MSW
-
Marilynn S. Dewald, M.D.
-
Shalini Johnson, M.D.
-
Kirk R Klemme, MD
-
Amber L. Kokkonen, N.P.
-
Adnan Anwar Malik, M.D.
-
Nathan Dale McParlan, M.D.
-
Jaime Oswald, MD
-
John Pietila, M.D.
-
Tom David Raisanen, M.D.
-
Michael W Cavanaugh, P.A.-C
-
Richard John Raffaelli, PA-C
-
Katie Merib Bittner, D.O.
-
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
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0382367 | Aspirus Houghton Clinic Laboratory | Provider-performed microscopy | Apr 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
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
- Corporation · Non-profit
- Incorporated
- Dec 9, 1908 in MI
- Enrollment address
- 1000 Cedar St
Houghton, MI 49931-1978 - Related CCNs
- 231319
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 | Nov 20, 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, 2020 | |
| 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 Officer | Aug 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- Aspirus Houghton Clinic
Other providers in Houghton, MI
- Zainab Almahrous
- Todd W Anderson
- Judith Charlene Archibald
- Kathleen Arten
- Aspirus Keweenaw
- Aspirus Keweenaw
- Aspirus Keweenaw
- Aspirus Keweenaw
- Aspirus Keweenaw
- Beki Asti
All providers in Houghton, MI · Rural Health Clinic/Center 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.