NPIMap

Organization Active NPI

Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Medford, WI
National Provider Identifier
1427140649
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.
Practice address
143 S Gibson St
Medford, WI 54451-1622
Phone
(715) 748-8100
Fax
(715) 748-8199
NPI assigned
Sep 28, 2006
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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

143 S Gibson St
Medford, WI 54451-1622

Mailing address

29980 Network PL
Chicago, IL 60673-1299
Phone (715) 847-2304

Other identifiers 1

IdentifierTypeStateIssuer
32893300MedicaidWI

Other names 1

  • ASPIRUS MEDFORD 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
This NPI is an additional NPI on the 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
O20130212000391 WI Part A Provider - Rural Health Clinic 5799688602 Practice locations: Medford, WI

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 528559

Legal name
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
Doing business as
ASPIRUS MEDFORD CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 6, 2013
Last certification
Aug 6, 2013
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 2, 1958 in WI
Enrollment address
143 S Gibson St
Medford, WI 54451-1622
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
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
52D2057189Aspirus Medford Clinic143 S Gibson St, Medford, WI 54451Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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
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 Mar 1, 2001 100%
Dale Hustedt Individual Corporate OfficerBoard Member Jul 2, 2018
W-2 Managing EmployeeCeo 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 Feb 1, 2017
W-2 Managing EmployeeVP of Finance Feb 1, 2017
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 Jul 30, 2015
W-2 Managing EmployeeVP-Finance Jul 30, 2015
Operational/Managerial ControlVP-Finance Jul 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 Officer Jul 31, 2013
W-2 Managing Employee Jul 31, 2013
Operational/Managerial Control Jul 31, 2013

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 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1427140649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29980 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "715-847-2304",
            "fax_number": "715-843-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S GIBSON ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511622",
            "telephone_number": "715-748-8100",
            "fax_number": "715-748-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32893300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASPIRUS MEDFORD CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASPIRUS MEDFORD CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, WI

Sources for this page

Verify at the official NPI Registry.