NPIMap

Organization Active NPI

Lakeview Medical Center Inc of Rice Lake

Doing business as Marshfield Clinic Cumberland Center, RHC

  • Rural Health Clinic/Center
  • Cumberland, WI
National Provider Identifier
1649867607
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Doing business as
Marshfield Clinic Cumberland Center, RHC
Practice address
1200 State Road 48
Cumberland, WI 54829-9406
Phone
(715) 822-6900
NPI assigned
Dec 24, 2020
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Jolyn Munson
Title
VP Revenue Cycle Operations
Phone
(605) 328-6585

Specialties & licenses 1

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

Addresses

Primary practice location

1200 State Road 48
Cumberland, WI 54829-9406

Mailing address

1000 N Oak Ave
Provider Enrollment Services - SHP FL2
Marshfield, WI 54449-5703
Phone (715) 389-0660

Other names 1

  • Marshfield Clinic Cumberland Center, RHC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210104001672 WI Part A Provider - Rural Health Clinic 6103737820 Practice locations: Cumberland, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649867607. Details of each certification follow.

Rural health clinic certification: CCN 528652

Legal name
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Doing business as
MARSHFIELD CLINIC CUMBERLAND 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
CorporationNon-profit
Incorporated
Dec 5, 1975 in WI
Enrollment address
1200 State Road 48
Cumberland, WI 54829-9406
Related CCNs
520011

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

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Medical16 organizations share this tax ID, including this one
Part of
Marshfield Clinic Health System Inc

Other organizations with this tax ID 15

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

View all 15

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1200 State Road 48
Cumberland, WI 54829
Phone (715) 822-6900

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
Brian D Hoerneman Individual Corporate OfficerPresident, Ceo Apr 4, 2023
Corporate DirectorBoard Member Sep 1, 2023
Tony Lee Morrison Individual W-2 Managing EmployeeVP, Chief Revenue Officer Jan 1, 2025
John F Baltus Individual Corporate OfficerTreasurer, Secretary, Vice Chair Sep 8, 2023
Corporate DirectorBoard Member Feb 4, 2016
Jolyn Joy Munson Individual W-2 Managing EmployeeVP Revenue Cycle Operations Jan 1, 2025
Dennis H Smith Individual Corporate DirectorBoard Member Jan 14, 2025
Jeffrey Douglas Poppen Individual Corporate OfficerCfo - Marshfield Jun 12, 2025
W-2 Managing EmployeeCfo - Marshfield Jun 12, 2025
Edward G Fernandez Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Sep 8, 2023
MCHS Hospitals Inc Organization, Marshfield, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 10, 2015 100%
Operational/Managerial Control Dec 10, 2015
Samantha L Klebe Individual Corporate DirectorBoard Member Sep 8, 2023
W-2 Managing EmployeeChief Physician Jan 1, 2025
Linda Laverne Procci Individual Corporate DirectorBoard Member Feb 1, 2025
Sanford Organization, Fargo, ND Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Everett W Newcomb Individual Corporate DirectorBoard Member Sep 13, 2024
Marshfield Clinic Health System Inc Organization, Marshfield, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Feb 28, 2014 100%
Operational/Managerial Control Feb 28, 2014
Douglas Mathison Individual Corporate DirectorBoard Member Dec 16, 2020
Nicholas Wayne Olson Individual W-2 Managing EmployeeExecutive VP, Cfo - Sanford Jan 1, 2025

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 41

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 41

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1649867607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "address_2": "PROVIDER ENROLLMENT SERVICES - SHP FL2",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-389-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STATE ROAD 48",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299406",
            "telephone_number": "715-822-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEDICAL CENTER INC OF RICE LAKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
        "enumeration_date": "2020-12-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "605-328-6585"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marshfield Clinic Cumberland Center, RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, WI

Sources for this page

Verify at the official NPI Registry.