Aspirus Iron River Hospital & Clinics, Inc.
Organization Active NPI Rural Health Clinic/Center · Iron River, MI
NPI 1306344783 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1306344783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC.
- Practice address
- 814 South Ice Lake Road
Iron River, MI 49935 - Phone
- (906) 265-0499
- Fax
- (906) 265-1244
- NPI assigned
- Jan 31, 2018
- Organization subpart
- No
Authorized official
- Name
- Lori Paige Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2526
Owners & managing parties with NPI records 4
-
Kristen Meske, AGPCNP
-
John Pietila, M.D.
-
Daniel John Lukes, D.O.
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 10
Related certifications (CCN) 2
Practitioners 204
-
Nicole Anderson, P.A.
-
Terry Marie Anderson, SLP
-
Marites Q Ansay, M.D.
-
Nicole Joan Archambault, PA-C
-
Timothy R Benac, PA-C
-
Jason F Bombard, D.O.
-
Tatyana G Bombard, D.O
-
Enrico Braucher, MD
-
Meredith Caudill, FNP-C
-
Sandra L. Coppo, MSW
-
Blake Dupuis, PT, DPT
-
Colleen Mary Dupuis, D.O.
-
Traci Rae Farmer, NP
-
Jeffrey A Fierstine, P.A.
-
David A Friar, M.D.
-
Jordan Fuller, DPT
-
Selena Nicole Fuller, DPT
-
Allison Harr, APRN CNM
-
Ryon Edward Hokens, P.T.
-
Eric Michael Johnson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Rural health clinic certification: CCN 238712
- Legal name
- ASPIRUS IRON RIVER HOSPITAL & CLINICS INC
- Doing business as
- ASPIRUS IRON RIVER CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 3, 2018
- Last certification
- Aug 3, 2018
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 814 S Ice Lake Rd
Iron River, MI 49935-9481 - Related CCNs
- 231318
All disclosed owners & managing parties 19
| 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 | |
| Aspirus, Inc |
5% Or Greater Direct Ownership Interest | Mar 1, 2018 | 100% |
| Rae Kaare |
W-2 Managing Employee |
Jan 1, 2022 | |
| Operational/Managerial Control |
Jan 1, 2022 | ||
| 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, 2021 | |
| 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 | |
| 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 |
Oct 1, 2019 | |
| W-2 Managing Employee | Oct 1, 2019 | ||
| Operational/Managerial Control | Oct 1, 2019 | ||
| Matthew F Heywood |
Corporate Director | Oct 31, 2019 | |
| W-2 Managing Employee | Jul 31, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000264 | MI | Part B Supplier - Clinic/Group Practice | 5294648929 |
Receives reassigned benefits from 213 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crystal Falls, MI; Iron River, MI |
| O20180220001348 | MI | Part a Provider - Rural Health Clinic | 5294648929 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Iron River, MI |
National Provider Directory
- Tax ID family
- Iron County Comm Hospit
Locations
927 Riverside Plz
Iron River, MI 49935
Phone (906) 265-2165
1300 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-8189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
814 South Ice Lake Road
Iron River, MI 49935
Mailing address
PO Box 1283
Wausau, WI 54402-1283
Phone (715) 847-2000
Other names
- Aspirus Iron River Clinic
Other providers in Iron River, MI
- Nicole Anderson
- Terry Marie Anderson
- Marites Q Ansay
- Aspirus Iron River Hospital & Clinics, Inc.
- Aspirus Iron River Hospital & Clinics, Inc.
- Aspirus Iron River Hospital & Clinics, Inc.
- Aspirus Iron River Hospital & Clinics, Inc.
- Aspirus Iron River Hospital & Clinics, Inc.
- Aspirus Iron River Hospital & Clinics, Inc.
- Aspirus Iron River Hospital & Clinics, Inc.
All providers in Iron River, 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 Aug 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.