NPIMap

Organization Active NPI

Lake View Memorial Hospital, Inc.

Doing business as Aspirus Lake View Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Two Harbors, MN
National Provider Identifier
1245328707
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
331064 Issued in MN
Legal business name
LAKE VIEW MEMORIAL HOSPITAL, INC.
Doing business as
Aspirus Lake View Hospital
Practice address
325 11TH Ave
Two Harbors, MN 55616-1300
Phone
(218) 834-7300
Fax
(218) 834-7388
NPI assigned
Oct 10, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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
Medicare Defined Swing Bed Hospital Unit 275N00000X 331064 MN Primary

Addresses

Primary practice location

325 11TH Ave
Two Harbors, MN 55616-1300

Mailing address

325 11TH Ave
Two Harbors, MN 55616-1300
Phone (218) 834-7300

Other identifiers 6

IdentifierTypeStateIssuer
2718OtherHEALTHPARTNERS
300411OtherMNUCARE MINNESOTA
01016526OtherPREFERRED ONE
739045900MedicaidMN
500116OtherMEDICA
1886ELAOtherMNBLUE CROSS MINNESOTA

Other names 1

  • Aspirus Lake View Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000562 MN Part A Provider - Critical Access Hospital 9032002688 Practice locations: Two Harbors, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245328707. Details of each certification follow.

Hospital certification: CCN 24Z308

Legal name
LAKE VIEW MEMORIAL HOSPITAL, INC
Doing business as
ASPIRUS LAKE VIEW HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
325 11TH Ave
Two Harbors, MN 55616-1300
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lake View Memorial Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Hogenson Individual Corporate DirectorMember, Board of Directors Jan 27, 2016
Jerry M Yang Individual Corporate OfficerSVP- Chief Financial Officer Mar 1, 2024
Nathan J Cavallin Individual Corporate DirectorDirector-Finance Jun 1, 2017
Kiera Marie Wilson Individual Corporate DirectorMember, Board of Directors May 26, 2021
Chris L Brelie Individual Corporate DirectorMember, Board of Directors May 26, 2021
Janelle Jones Individual Corporate DirectorMember, Board of Directors Jan 28, 2015
Aspirus, Inc Organization, Wausau, WI Corporation, Non-profit Operational/Managerial Control Mar 1, 2024 100%
Greg G Ruberg Individual Corporate OfficerPresident/ Ceo Oct 1, 2016
W-2 Managing EmployeePresident/ Ceo Jul 12, 2014
Kevin Beardsley Individual Corporate DirectorMember, Board of Directors Jan 1, 2010
St. Luke's Hospital of Duluth Organization, Duluth, MN Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Joyce Scott Individual Corporate DirectorMember, Board of Directors May 20, 2020
Wade Leblanc Individual Corporate DirectorMember, Board of Directors Jun 1, 2012
Lori Peck Individual W-2 Managing EmployeeVP - System Finance Mar 1, 2024
Kelsey M Schultz Individual Corporate DirectorDirector/Board Member Apr 23, 2023
Tyler Hack Individual W-2 Managing EmployeeVP - Revenue Cycle Mar 1, 2024
Matthew F Heywood Individual Corporate OfficerPresident & Chief Executive Officer Mar 1, 2024

Owners & managing parties with NPI records 10

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

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1245328707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7300",
            "fax_number": "218-834-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7300",
            "fax_number": "218-834-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "MN",
            "license": "331064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "2718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "300411",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01016526",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739045900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "500116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MINNESOTA",
            "identifier": "1886ELA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Lake View Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Two Harbors, MN

Sources for this page

Verify at the official NPI Registry.