Organization Active NPI

Hudson Hospital, Inc.

  • Critical Access Hospital
  • Hudson, WI
National Provider Identifier
1255532875
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1039 Issued in WI
Legal business name
HUDSON HOSPITAL, INC.
Practice address
405 Stageline Rd
Hudson, WI 54016-7848
Phone
(715) 531-6000
NPI assigned
May 30, 2007
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Lisa Bjorkman
Title
Director
Phone
(952) 883-7469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1039 WI Primary

Addresses

Primary practice location

405 Stageline Rd
Hudson, WI 54016-7848

Mailing address

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

Other identifiers 1

IdentifierTypeStateIssuer
11018700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031121000807 WI Part B Supplier - Clinic/Group Practice 0648183061 Receives reassigned benefits from 175 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudson, WI
O20040115000507 WI Part B Supplier - Clinic/Group Practice 0648183061 Receives reassigned benefits from 31 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudson, WI
O20100127000011 WI Part A Provider - Critical Access Hospital 0648183061 Receives reassigned benefits from 5 practitioners
Practice locations: Hudson, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255532875. Details of each certification follow.

Hospital certification: CCN 52Z335

Legal name
HUDSON HOSPITAL INC
Doing business as
HUDSON HOSPITAL & CLINICS
Organization structure
CorporationNon-profit
Incorporated
Sep 25, 1950 in WI
Enrollment address
405 Stageline Rd
Hudson, WI 54016-7848

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Hudson Mem Hosp Ekg5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

401 Stageline Rd
Ste 5
Hudson, WI 54016
Phone (715) 531-6700

742 Sterbenz Dr
Hudson, WI 54016
Phone (715) 386-2128

143 Jennifer Rae Jct N
Roberts, WI 54023
Phone (715) 531-6000

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Steven Massey Individual Corporate DirectorPresident Apr 23, 2026
Jason Gallagher Individual Corporate Director Jan 1, 2024
Jack R Dressen Individual Corporate Director Jan 1, 2026
Khu Thao Individual Corporate Director Aug 1, 2023
Group Health Plan Inc Organization, Minneapolis, MN Non-profit Operational/Managerial Control Feb 1, 1999
Nicholas Weiss Individual Corporate Director Jan 1, 2026
Melissa Kolb Individual Corporate Director Apr 23, 2020
Michael Anderson Individual Corporate Director Jan 1, 2019
Sharon Tolva Individual Corporate Director Jan 1, 2019
Annie Jacobsen Individual Corporate Director Aug 1, 2023
Mark Gherty Individual Corporate Director May 1, 2018
Criag Yehlik Individual Corporate Director Jan 1, 2020
Kris Tjornehoj Individual Corporate Director May 1, 2018
Levon O Haodha Individual Corporate Director May 1, 2018
Regan Brown Individual Corporate Director Jan 1, 2019
Alita R Risinger Individual Corporate OfficerSenior VP/Cfo of Care Delivery Jul 1, 2024
Oralee Schock Individual Corporate Officer May 1, 2017
Pahoua Hoffman Individual Corporate Director May 1, 2023
Lisa Bjorkman Individual W-2 Managing EmployeeAd; Jul 27, 2015
Paula Kolbeck Individual Corporate Director Jan 1, 2020
Charles Williamson Individual Corporate Director Mar 1, 2020
Steven Long Individual Corporate Director Oct 1, 2022

Owners & managing parties with NPI records 14

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

View all 14

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 225

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 225

Affiliated clinicians 7

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1255532875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167848",
            "telephone_number": "715-531-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167848",
            "telephone_number": "715-531-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "BJORKMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-883-7469"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11018700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.