NPIMap

Organization Active NPI

Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

Doing business as Aspirus Elcho Clinic

  • Rural Health Clinic/Center
  • Elcho, WI
National Provider Identifier
1831251040
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
LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN
Doing business as
Aspirus Elcho Clinic
Practice address
W10618 Clinic St
Elcho, WI 54428-9619
Phone
(715) 275-4011
NPI assigned
Dec 14, 2006
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 Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WI
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

W10618 Clinic St
Elcho, WI 54428-9619

Mailing address

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

Other names 1

  • Aspirus Elcho Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040212000310 WI Part B Supplier - Clinic/Group Practice 1557271202 Receives reassigned benefits from 353 practitioners
6 other NPIs on this enrollment
Practice locations: Merrill, WI; Wittenberg, WI; Rhinelander, WI; Elcho, WI; Birnamwood, WI; Antigo, WI
O20140321001217 WI Part A Provider - Rural Health Clinic 1557271202 Practice locations: Elcho, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831251040. Details of each certification follow.

Rural health clinic certification: CCN 528570

Legal name
LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN
Doing business as
ASPIRUS ELCHO CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 5, 2015
Last certification
May 5, 2015
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jan 11, 1933 in WI
Enrollment address
W10618 Clinic St
Elcho, WI 54428-9619
Related CCNs
521350

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).

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Julie a Sprague Individual Corporate DirectorBoard Member Sep 30, 2022
Lakshmi Deep Individual Corporate DirectorBoard Member Oct 1, 2023
Aspirus, Inc Organization, Wausau, WI Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2008 40%
James Matheson Individual Corporate DirectorBoard Member Sep 30, 2020
Religious Hospitallers of St. Joseph Organization, Kingston Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2008 60%
John R Myers Individual Corporate DirectorBoard Member Sep 30, 2022
Lynne Henricks Individual Corporate DirectorBoard Member Sep 30, 2022
Mark Westen 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
Roshini Samuel Individual Corporate DirectorBoard Member Sep 30, 2021
Sherry Bunten Individual W-2 Managing Employee Jan 1, 2020
Operational/Managerial Control Jan 1, 2022
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
Matthew F Heywood Individual Corporate Director Jul 1, 2013
W-2 Managing EmployeeCeo Jul 31, 2013
Operational/Managerial ControlCeo Jul 31, 2013

Owners & managing parties with NPI records 2

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 369

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 369

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1831251040",
    "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": "W10618 CLINIC ST",
            "city": "ELCHO",
            "state": "WI",
            "postal_code": "544289619",
            "telephone_number": "715-275-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGLADE HOSPITAL - HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2575"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Elcho Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Elcho Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elcho, WI

Sources for this page

Verify at the official NPI Registry.