NPIMap

Organization Active NPI

Aspirus Medford Hospital & Clinics, Inc.

Doing business as Aspirus Gilman Clinic

  • Rural Health Clinic/Center
  • Gilman, WI
National Provider Identifier
1285703173
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 MEDFORD HOSPITAL & CLINICS, INC.
Doing business as
Aspirus Gilman Clinic
Practice address
320 East Main
Gilman, WI 54433
Phone
(715) 447-8293
Fax
(715) 447-8270
NPI assigned
Nov 7, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

320 East Main
Gilman, WI 54433

Mailing address

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

Other identifiers 1

IdentifierTypeStateIssuer
21303800MedicaidWI

Other names 1

  • ASPIRUS GILMAN CLINIC Doing business as

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040129000007 WI Part B Supplier - Clinic/Group Practice 5799688602 Receives reassigned benefits from 383 practitioners
6 other NPIs on this enrollment
Practice locations: Medford, WI; Rib Lake, WI; Prentice, WI; Phillips, WI; Athens, WI; Gilman, WI
O20071211000401 WI Part A Provider - Critical Access Hospital 5799688602 Receives reassigned benefits from 334 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prentice, WI; Gilman, WI; Athens, WI; Medford, WI
O20100304000374 WI Part A Provider - Rural Health Clinic 5799688602 1 other NPI on this enrollment
Practice locations: Gilman, WI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1285703173. Details of each certification follow.

Hospital certification: CCN 521324

Legal name
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 10, 2002
Last certification
Jul 15, 2015
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 2, 1958 in WI
Enrollment address
135 S Gibson St
Medford, WI 54451-1622

Rural health clinic certification: CCN 528535

Legal name
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
Doing business as
ASPIRUS GILMAN CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 4, 2011
Last certification
Dec 19, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 2, 1958 in WI
Enrollment address
320 E Main St
Gilman, WI 54433-9674
Related CCNs
521324

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

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Medford Hospital & Clinics, IncCCN 521324 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
52D0395405Aspirus Gilman Clinic320 E Main St, Gilman, WI 54433Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Jeffrey Koenig Individual Corporate DirectorBoard Member Nov 1, 2023
Michael Holzhueter Individual Corporate DirectorBoard Member 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
Randy Juedes Individual Corporate DirectorBoard Member Oct 1, 2019
John Lange Individual Corporate DirectorBoard Member Oct 1, 2020
Corporate DirectorAssistant Treasurer Oct 1, 2020
Susan M Schneider Individual Corporate DirectorBoard Member Oct 1, 2020
Aspirus, Inc Organization, Wausau, WI Non-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2001 100%
5% Or Greater Direct Ownership Interest Jun 30, 2022 100%
Dale Hustedt Individual Corporate OfficerBoard Member Jul 2, 2018
W-2 Managing EmployeeCeo Jul 2, 2018
Corporate Director Jul 2, 2018
W-2 Managing Employee Jul 2, 2018
Operational/Managerial Control Jul 2, 2018
Rachel a Dixon Individual Corporate DirectorBoard Member Jan 17, 2018
Leonard W Hamman Individual Corporate DirectorBoard Member/Secretary Jul 26, 2016
Greg Shaw Individual Corporate Director Apr 13, 2015
W-2 Managing EmployeeVP of Finance Apr 13, 2015
Corporate Director Apr 30, 2015
W-2 Managing Employee Apr 30, 2015
Lori Peck Individual Corporate DirectorVP-Finance Sep 30, 2015
W-2 Managing EmployeeVP-Finance Sep 30, 2015
Operational/Managerial ControlVP-Finance Sep 30, 2015
Corporate DirectorVP - Finance Sep 30, 2015
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
Diane M Anderson Individual Corporate DirectorBoard Member Oct 1, 2022
Matthew F Heywood Individual Corporate DirectorPresident - Chief Executive Officer Jul 31, 2013
W-2 Managing EmployeePresident - Chief Executive O Jul 31, 2013
Operational/Managerial ControlPresident - Chief Executive Officer Jul 31, 2013
Corporate OfficerCeo Jul 31, 2013
W-2 Managing EmployeeCeo Jul 31, 2013
Operational/Managerial ControlCeo Jul 31, 2013
Courtney Graff Individual Corporate DirectorBoard Member Oct 1, 2021
James Matheson Individual Corporate DirectorBoard Member/Vice Chair Oct 1, 2020
Matthew Brewer Individual Corporate DirectorBoard Member Oct 1, 2018

Owners & managing parties with NPI records 3

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 404

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 404

Affiliated clinicians 193

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

View all 193

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1285703173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511622",
            "telephone_number": "715-748-8100",
            "fax_number": "715-748-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN",
            "city": "GILMAN",
            "state": "WI",
            "postal_code": "54433",
            "telephone_number": "715-447-8293",
            "fax_number": "715-447-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21303800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASPIRUS GILMAN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASPIRUS GILMAN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilman, WI

Sources for this page

Verify at the official NPI Registry.