NPIMap

Organization Active NPI

Aspirus Keweenaw

Doing business as Aspirus Keweenaw Lake Linden Clinic

  • Rural Health Clinic/Center
  • Lake Linden, MI
National Provider Identifier
1649320524
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 KEWEENAW
Doing business as
Aspirus Keweenaw Lake Linden Clinic
Practice address
110 Calumet Street
Lake Linden, MI 49945-1308
Phone
(906) 296-5040
Fax
(906) 296-1006
NPI assigned
Jan 11, 2007
Last updated
Feb 26, 2026By the provider in NPPES
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 Paige Peck
Title
SVP- Chief Financial Officer
Phone
(715) 748-2988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

110 Calumet Street
Lake Linden, MI 49945-1308

Mailing address

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-6560

Other identifiers 1

IdentifierTypeStateIssuer
00108OtherMIBLUE CROSS

Other names 1

  • Aspirus Keweenaw Lake Linden Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080926000374 MI Part A Provider - Rural Health Clinic 8123912011 Practice locations: Lake Linden, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649320524. Details of each certification follow.

Rural health clinic certification: CCN 238552

Legal name
ASPIRUS KEWEENAW
Doing business as
ASPIRUS KEWEENAW LAKE LINDEN CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 3, 1997
Last certification
Dec 2, 2020
Ownership / control type
1B
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1908 in MI
Enrollment address
110 Calumet St
Lake Linden, MI 49945-1308
Related CCNs
231319

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

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
23D0923768Aspirus Lake Linden Clinic110 Calumet Street, Lake Linden, MI 49945Provider-performed microscopyAug 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Keweenaw Memorial Med H8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Jennifer Redman-Schell 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
Kristen Meske Individual Corporate DirectorBoard Member Oct 1, 2020
Matthew Krause Individual Corporate DirectorVP-Chief Administrative Officer Jan 1, 2022
Aspirus, Inc Organization, Wausau, WI Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2008 100%
Robin L Meneguzzo Individual Corporate DirectorBoard Member Oct 1, 2022
Daniel J Lukes Individual Corporate DirectorBoard Member Oct 21, 2019
John Matonich Individual Corporate DirectorBoard Member Oct 1, 2022
Katie Clark Individual Corporate DirectorSecretary Oct 21, 2019
James Richardson Individual Corporate DirectorBoard Member Oct 1, 2021
Patrick Tincher Individual Corporate DirectorBoard Member Oct 1, 2020
Richard Koubek Individual Corporate DirectorBoard Member Oct 1, 2020
Jonathan N Brueggeman Individual Corporate DirectorBoard Member Oct 21, 2019
Charly Loper Individual Corporate DirectorBoard Member Oct 1, 2023
Lori Peck Individual Corporate DirectorVP - Finance Sep 30, 2015
W-2 Managing EmployeeVP-Finance Sep 30, 2015
Operational/Managerial ControlVP-Finance Sep 30, 2015
Hannah Goodman Individual Corporate DirectorBoard Member Oct 1, 2023
Kirk R Schott Individual Corporate DirectorBoard Member Oct 21, 2019
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
John Pietila Individual Corporate DirectorBoard Member Oct 1, 2022
Christine Harff Individual Corporate Director Jun 24, 2019
W-2 Managing Employee Oct 1, 2019
Operational/Managerial Control Oct 1, 2019
Matthew F Heywood Individual Corporate Officer Aug 1, 2014

Owners & managing parties with NPI records 5

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1649320524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6560",
            "fax_number": "906-337-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALUMET STREET",
            "city": "LAKE LINDEN",
            "state": "MI",
            "postal_code": "499451308",
            "telephone_number": "906-296-5040",
            "fax_number": "906-296-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS KEWEENAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-748-2988"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00108",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Keweenaw Lake Linden Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Keweenaw Lake Linden Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Linden, MI

Sources for this page

Verify at the official NPI Registry.