NPIMap

Organization Active NPI

Aspirus Eagle River Hospital, Inc

Doing business as Aspirus Eagle River Hospital

  • Land Ambulance
  • Eagle River, WI
National Provider Identifier
1790718542
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ASPIRUS EAGLE RIVER HOSPITAL, INC
Doing business as
Aspirus Eagle River Hospital
Practice address
201 Hospital Rd
Eagle River, WI 54521-8835
Phone
(715) 479-7411
NPI assigned
Jul 7, 2006
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS EAGLE RIVER HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1000 WI
Land Ambulance 3416L0300X WI Primary

Addresses

Primary practice location

201 Hospital Rd
Eagle River, WI 54521-8835

Mailing address

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

Other names 1

  • Aspirus Eagle River Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000603 WI Part A Provider - Critical Access Hospital 1658361951 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eagle River, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790718542. Details of each certification follow.

Hospital certification: CCN 521300

Legal name
ASPIRUS EAGLE RIVER HOSPITAL & CLINICS, INC
Doing business as
ASPIRUS EAGLE RIVER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 1999
Last certification
Sep 22, 2022
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 2, 1961 in WI
Enrollment address
201 Hospital Rd
Eagle River, WI 54521-8835

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Eagle River HospitalCCN 521300 · All quality measures
Type
Critical Access 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
Family HLTH CT-Woodruff3 organizations share this tax ID, including this one
Part of
Family HLTH CT-Woodruff

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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
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
Holly L Beede-McKinney Individual Corporate DirectorBoard Member Aug 1, 2021
Aspirus, Inc Organization, Wausau, WI Non-profit 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 Employee Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
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 Dec 1, 2021
W-2 Managing EmployeeVP-Finance Dec 1, 2021
Operational/Managerial ControlVP-Finance Dec 1, 2021
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
Arthur C Helgerson Individual Corporate DirectorBoard Member Mar 1, 2013
Matthew F Heywood Individual Corporate OfficerCeo Aug 1, 2021
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

Affiliated clinicians 105

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

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1790718542",
    "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": "201 HOSPITAL RD",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218835",
            "telephone_number": "715-479-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS EAGLE RIVER HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRUS EAGLE RIVER HOSPITAL, INC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1000",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Eagle River Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle River, WI

Sources for this page

Verify at the official NPI Registry.