NPIMap

Organization Active NPI

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

Doing business as Aspirus Rhinelander Hospital

  • General Practice Physician
  • Rhinelander, WI
National Provider Identifier
1548628100
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
Doing business as
Aspirus Rhinelander Hospital
Practice address
1020 Kabel Ave
Rhinelander, WI 54501-3918
Phone
(715) 361-2000
NPI assigned
Feb 10, 2016
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Jerry M Yang
Title
SVP & Chief Financial Officer
Phone
(715) 847-2526

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Rehabilitation Clinic/Center 261QR0400X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1020 Kabel Ave
Rhinelander, WI 54501-3918

Mailing address

1020 Kabel Ave
Rhinelander, WI 54501-3918
Phone (715) 361-2000

Other names 1

  • Aspirus Rhinelander Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031126000706 WI Part B Supplier - Clinic/Group Practice 9335059856 Receives reassigned benefits from 980 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stevens Point, WI; Plover, WI; Tomahawk, WI; Wausau, WI; Wisconsin Rapids, WI; Wittenberg, WI; Woodruff, WI; Rhinelander, WI…
O20071120000332 WI Part A Provider - Hospital 9335059856 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plover, WI; Amherst, WI; Iola, WI; Stevens Point, WI; Crandon, WI; Tomahawk, WI; Eagle River, WI; Rhinelander, WI…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548628100. Details of each certification follow.

Hospital certification: CCN 520019

Legal name
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
Doing business as
ASPIRUS RHINELANDER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 30, 2017
Beds
99
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1983 in WI
Enrollment address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Hospital subgroups
General

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

Other NPIs on the same Medicare enrollment 17

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

View all 17

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Rhinelander HospitalCCN 520019 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart St Marys H15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Michael Holzhueter Individual Corporate DirectorAssistant Secretary Aug 1, 2021
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
Dean M Pollnow Individual Corporate DirectorBoard Member Oct 1, 2023
Holly L Beede-McKinney Individual Corporate DirectorBoard Member Aug 1, 2021
Aspirus, Inc Organization, Wausau, WI Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Aug 1, 2021 100%
Kelly L Court Individual Corporate DirectorBoard Member Jul 1, 2019
Teresa J Theiler Individual W-2 Managing EmployeeManaging Employee Jan 1, 2021
Operational/Managerial ControlManaging Employee Jan 1, 2021
Amy Vanney Individual Corporate DirectorBoard Member Oct 1, 2023
Eric J Anderson Individual Corporate DirectorBoard Member Aug 1, 2021
Ronald Patterson Individual Corporate DirectorBoard Member Oct 1, 2023
Judith a Crouch-Smolarek Individual Corporate DirectorBoard Member/Chair Aug 1, 2021
Ryan Huseby Individual Corporate DirectorBoard Member Oct 1, 2023
Lori Peck Individual Corporate DirectorVP - Finance Aug 1, 2021
W-2 Managing EmployeeVP-Finance Aug 1, 2021
Operational/Managerial ControlVP-Finance Aug 1, 2021
Kathleen C Ferrel Individual Corporate DirectorBoard Member Jul 1, 2018
Tyler Hack Individual Corporate DirectorVP - Revenue Cycle Feb 26, 2024
W-2 Managing EmployeeVP-Finance Feb 26, 2024
Operational/Managerial ControlSVP and Chief Financial Officer Feb 26, 2024
Matthew F Heywood Individual W-2 Managing EmployeeCeo Aug 1, 2021
Operational/Managerial ControlCeo Aug 1, 2021

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 50

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 50

Affiliated clinicians 536

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

View all 536

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1548628100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KABEL AVE",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013918",
            "telephone_number": "715-361-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KABEL AVE",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013918",
            "telephone_number": "715-361-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2526"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Rhinelander Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.