Ascension Calumet Hospital, Inc
Organization Active NPI Critical Access Hospital · Chilton, WI
NPI 1376541748 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1376541748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 1020 (WI)
- Legal business name
- ASCENSION CALUMET HOSPITAL, INC
- Practice address
- 614 Memorial Dr
Chilton, WI 53014-1568 - Phone
- (920) 849-2386
- Fax
- (920) 849-1801
- NPI assigned
- Jul 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Susan Dwyer
- Title
- Cfo
- Phone
- (414) 465-3093
Owners & managing parties with NPI records 1
-
David E Miller, DPM
Facilities with the same owner 157
Practitioners 181
-
Lamin Bangura, M.D.
-
Karen Burr, NP
-
Carrie B. Chapman, M.D.
-
Benjamin Roman Ciske, M.D.
-
Carolyn A Hellman, D.O.
-
Thomas M Tamlyn, MD
-
Jocko R Zifferblatt, D.O.
-
Javaid Abbasi, D.O.
-
Kingston Okrah, MD
-
Kamal Kant Singh Abbi, M.D.
-
Laura Mae Anderson, APNP
-
Lauren K Barlow, M.D.
-
William Michael Beer, M.D.
-
Andrew Beine, MD
-
Vaishnavy Bhaskaruni, M.D.
-
Meghan Boll, APNP
-
Nicholas R Bope, MD
-
Nancy C Bratanow, M.D.
-
John Paul Budi, DO
Affiliated clinicians 70
-
Bryan A Avery, MD
-
Lamin Bangura, M.D.
-
Andrew Beine, MD
-
James R Burns, MD
-
Karen Burr, NP
-
Benjamin Roman Ciske, M.D.
-
Agei Oben Enoh, MD
-
Hailey Jo Freeman, FNP-C
-
Elena Lee Fry Hansen, APNP
-
Megan E Gebhart, APNP
-
Katie Geiser, NP
-
Randall Gunther, MD
-
Amanda Hackbarth, APNP
-
Carolyn A Hellman, D.O.
-
Jessica Jannette Hendricks, ANP-BC
-
Bradley C Heraly, M.D.
Medicare Care Compare: Hospital
- Listed as
- Ascension Calumet Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0388285 | Ascension Calumet Hospital, Inc | Accreditation | Sep 16, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WI
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
- Corporation · Non-profit
- Enrollment address
- 614 Memorial Dr
Chilton, WI 53014-1568
Hospital certification: CCN 52Z317
- Legal name
- ASCENSION CALUMET HOSPITAL INC
- Doing business as
- ASCENSION CALUMET HOSPITAL
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 614 Memorial Dr
Chilton, WI 53014-1568
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Ministry Health Care Inc |
Operational/Managerial Control | Jan 1, 2016 | |
| Kurt Schley |
Corporate Director |
Jan 1, 2026 | |
| Michael Bergmann |
W-2 Managing Employee |
Jan 25, 2021 | |
| Operational/Managerial Control |
Jan 25, 2021 | ||
| John Rowe |
Corporate Director |
Jul 1, 2018 | |
| Kristin a McManmon |
Corporate Director |
Jan 1, 2026 | |
| Calumet Area Community Health Foundation Inc |
Other | Jan 1, 2016 | |
| Daniel W Jackson |
Corporate Officer |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Robin Barten |
W-2 Managing Employee |
Nov 1, 2024 | |
| Michael McCullough |
Corporate Officer |
Oct 21, 2024 | |
| W-2 Managing Employee |
Oct 21, 2024 | ||
| Operational/Managerial Control |
Oct 21, 2024 | ||
| W-2 Managing Employee | Oct 21, 2024 | ||
| Stephanie Hietpas |
W-2 Managing Employee |
Nov 1, 2024 | |
| Andre I Storey |
Corporate Director |
Jan 1, 2026 | |
| Rexanne R Braun |
W-2 Managing Employee |
Jul 1, 2019 | |
| David E Miller |
Corporate Director |
Jul 1, 2024 | |
| Ascension Health |
Operational/Managerial Control | Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 1020 | WI | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11015300 | Medicaid | WI |
Other names
- ASCENSION CALUMET HOSPITAL
Other providers in Chilton, WI
- Agnesian Healthcare Inc
- Jose J. Alba
- Steven Almeida
- David W Andrews
- Katie Erin Arnold
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Michelle A Auchue
- Michael Stanley Baus
All providers in Chilton, WI · Critical Access Hospital in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.