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NPI Code Detail

MEDICARE: ASPIRUS EAGLE RIVER HOSPITAL, INC.

MEDICARE: ASPIRUS EAGLE RIVER HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital1000WI
2207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699728915
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRUS EAGLE RIVER HOSPITAL, INC.
Provider Business Mailing Address
First Line : 29980 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1299
Country : US
Telephone Number : 715-847-2304
Fax Number : 715-843-1188
Provider Business Practice Location Address
First Line : 201 HOSPITAL RD
Second Line :
City : EAGLE RIVER
State : WI
Zip : 54521-8835
Country : US
Telephone Number : 715-479-7411
Fax Number :
Authorized Official
Title or Position : SVP- CHIEF FINANCIAL OFFICER
Name : LORI PECK
Credential :
Telephone Number : 715-847-2575
Provider Enumeration Date : 05/18/2006
Last Update Date : 02/26/2026

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Practice Location Address:
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Practice Location Address:
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Practice Fax:
1790718542 — ASPIRUS EAGLE RIVER HOSPITAL, INC
Practice Location Address:
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54521-8835
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Practice Fax:
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Practice Location Address:
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Directions to “ASPIRUS EAGLE RIVER HOSPITAL, INC. ” Practice Location

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