Lakeview Medical Center Inc of Rice Lake
Organization Active NPI Rural Health Clinic/Center · Hayward, WI
NPI 1639766694 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1639766694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
- Practice address
- 10212N N Greenwood LN
Hayward, WI 54843-7220 - Phone
- (715) 634-6520
- Fax
- (715) 634-7055
- NPI assigned
- Dec 24, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- MARSHFIELD CLINIC HEALTH SYSTEM INC
Authorized official
- Name
- Jolyn Munson
- Title
- VP Revenue Cycle Operations
- Phone
- (605) 328-6585
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 3
-
Brian Hoerneman, MD
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 15
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 41
Practitioners 168
-
Karalyn M Adam, DNP, RN
-
Michelle D. Alikpala, RN, BSN, MSN, AGNP-C
-
Jeffrey J Anderegg, M.D.
-
Javariah Asghar, M.D.
-
Jemstone Wesley Bathe, M.D.
-
Anderson A Bauer, M.D.
-
Rebecca M. Blonsky, M.D.
-
Jaime Alberto Boero, MD PHD
-
Melissa Bohn, FNP
-
Courtney L Bork, MD
-
Tejas N Brahmbhatt, M.D.
-
Michelle L Brost, APNP
-
Amanda Rae Butterfield, APNP
-
Michele C. Byron, MD
-
Stephanie Cain, APNP
-
Stephanie C Carr, DO
-
Janis Cekan, APNP
-
Chad Michael Collins, LCSW
-
Carlos X Condado, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Rural health clinic certification: CCN 528650
- Legal name
- LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
- Doing business as
- MARSHFIELD CLINIC HAYWARD CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jun 28, 2023
- Last certification
- Jun 28, 2023
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 5, 1975 in WI
- Enrollment address
- 10212 N Greenwood LN
Hayward, WI 54843-7220 - Related CCNs
- 520011
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Brian D Hoerneman |
Corporate Officer |
Apr 4, 2023 | |
| Corporate Director |
Sep 1, 2023 | ||
| Tony Lee Morrison |
W-2 Managing Employee |
Jan 1, 2025 | |
| John F Baltus |
Corporate Officer |
Sep 8, 2023 | |
| Corporate Director |
Feb 4, 2016 | ||
| Jolyn Joy Munson |
W-2 Managing Employee |
Jan 1, 2025 | |
| Dennis H Smith |
Corporate Director |
Jan 14, 2025 | |
| Jeffrey Douglas Poppen |
Corporate Officer |
Jun 12, 2025 | |
| W-2 Managing Employee |
Jun 12, 2025 | ||
| Edward G Fernandez |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Sep 8, 2023 | ||
| MCHS Hospitals Inc |
5% Or Greater Direct Ownership Interest | Dec 10, 2015 | 100% |
| Operational/Managerial Control | Dec 10, 2015 | ||
| Samantha L Klebe |
Corporate Director |
Sep 8, 2023 | |
| W-2 Managing Employee |
Jan 1, 2025 | ||
| Linda Laverne Procci |
Corporate Director |
Feb 1, 2025 | |
| Sanford |
5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Everett W Newcomb |
Corporate Director |
Sep 13, 2024 | |
| Marshfield Clinic Health System Inc |
5% Or Greater Indirect Ownership Interest | Feb 28, 2014 | 100% |
| Operational/Managerial Control | Feb 28, 2014 | ||
| Douglas Mathison |
Corporate Director |
Dec 16, 2020 | |
| Nicholas Wayne Olson |
W-2 Managing Employee |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210104001245 | WI | Part a Provider - Rural Health Clinic | 6103737820 | Practice locations: Hayward, WI |
National Provider Directory
- Tax ID family
- Lakeview Medical Center
- Part of
- Marshfield Clinic Health System Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
10212N N Greenwood LN
Hayward, WI 54843-7220
Mailing address
1000 N Oak Ave
Provider Enrollment SHP FL2
Marshfield, WI 54449-5703
Phone (715) 389-0660
Other names
- Marshfield Clinic Hayward Center, RHC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Hayward, WI
- Lac Courte Oreilles Comprehensive Care Services
- Lac Courte Oreilles Governing
- Lac Courte Oreilles Governing
- Michael Laird
- Lakeview Medical Center Inc of Rice Lake
- Lakeview Medical Center Inc of Rice Lake
- Anne Marie Leona Larson
- Kyra Rhodes Larson
- Michael John Larson
- Steven J Larson
All providers in Hayward, WI · Rural Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 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.