NPIMap

Organization Active NPI

Ascension Calumet Hospital, Inc

Doing business as Ascension Calumet Hospital

  • Critical Access Hospital
  • Chilton, WI
National Provider Identifier
1376541748
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1020 Issued in WI
Legal business name
ASCENSION CALUMET HOSPITAL, INC
Doing business as
Ascension Calumet Hospital
Practice address
614 Memorial Dr
Chilton, WI 53014-1568
Phone
(920) 849-2386
Fax
(920) 849-1801
NPI assigned
Jul 11, 2005
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Susan Dwyer
Title
Cfo
Phone
(414) 465-3093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1020 WI Primary

Addresses

Primary practice location

614 Memorial Dr
Chilton, WI 53014-1568

Mailing address

614 Memorial Dr
Chilton, WI 53014-1568
Phone (920) 849-2386

Other names 1

  • ASCENSION CALUMET HOSPITAL Doing business as

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040809000191 WI Part B Supplier - Clinic/Group Practice 7416948427 Receives reassigned benefits from 144 practitioners
Practice locations: Chilton, WI
O20080508000779 WI Part A Provider - Critical Access Hospital 7416948427 Receives reassigned benefits from 98 practitioners
Practice locations: Chilton, WI
O20080508000804 WI Part A Provider - Critical Access Hospital 7416948427 Practice locations: Chilton, WI

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1376541748. Details of each certification follow.

Hospital certification: CCN 521317

Legal name
ASCENSION CALUMET HOSPITAL INC
Doing business as
ASCENSION CALUMET HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 2, 2001
Last certification
Nov 18, 2009
Beds
29 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
614 Memorial Dr
Chilton, WI 53014-1568
Main/Primary Hospital Location

Hospital certification: CCN 52Z317

Legal name
ASCENSION CALUMET HOSPITAL INC
Doing business as
ASCENSION CALUMET HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
614 Memorial Dr
Chilton, WI 53014-1568
Hospital Swing-Bed Unit

Hospital certification: CCN 520115

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CALUMET MEDICAL CTR INC
Certification status
Terminated Other: provider status change, Oct 4, 2001
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 4, 1994
Beds
60
Ownership / control type
Other
Facility address
614 Memorial Drive
Chilton, WI 53014

Care Compare: Hospital

Medicare Care Compare
Listed as
Ascension Calumet HospitalCCN 521317 · 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
52D0388285Ascension Calumet Hospital, Inc614 Memorial Dr, Chilton, WI 53014AccreditationSep 16, 2026

National Provider Directory

National Provider Directory

Locations

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Ministry Health Care Inc Organization, Glendale, WI Corporation, Non-profit Operational/Managerial Control Jan 1, 2016
Kurt Schley Individual Corporate DirectorBoard Member Jan 1, 2026
Michael Bergmann Individual W-2 Managing EmployeeHospital President Jan 25, 2021
Operational/Managerial ControlHospital President Jan 25, 2021
John Rowe Individual Corporate DirectorBoard Member Jul 1, 2018
Kristin a McManmon Individual Corporate DirectorBoard Member Jan 1, 2026
Calumet Area Community Health Foundation Inc Organization, Chilton, WI Corporation, Non-profit Other Jan 1, 2016
Daniel W Jackson Individual Corporate OfficerCeo Jan 1, 2024
W-2 Managing EmployeeCeo Jan 1, 2024
Operational/Managerial ControlCeo Jan 1, 2024
Robin Barten Individual W-2 Managing EmployeeNet Rev MGMT-MGR Nov 1, 2024
Michael McCullough Individual Corporate OfficerCfo Oct 21, 2024
W-2 Managing EmployeeCfo Oct 21, 2024
Operational/Managerial ControlCfo Oct 21, 2024
W-2 Managing Employee Oct 21, 2024
Stephanie Hietpas Individual W-2 Managing EmployeeNet Rev MGMT-MGR Nov 1, 2024
Andre I Storey Individual Corporate DirectorBoard Member Jan 1, 2026
Rexanne R Braun Individual W-2 Managing EmployeeEnrollment Coordinator Jul 1, 2019
David E Miller Individual Corporate DirectorBoard Member Jul 1, 2024
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Jan 1, 2016

Owners & managing parties with NPI records 1

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

Facilities with the same owner 157

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

View all 157

Practitioners & affiliated clinicians

Practitioners 181

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 181

Affiliated clinicians 70

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

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1376541748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MEMORIAL DR",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141568",
            "telephone_number": "920-849-2386",
            "fax_number": "920-849-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MEMORIAL DR",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141568",
            "telephone_number": "920-849-2386",
            "fax_number": "920-849-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION CALUMET HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-465-3093"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION CALUMET HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chilton, WI

Sources for this page

Verify at the official NPI Registry.