Black River Memorial Hospital Inc

LBN: Black River Memorial Hospital Inc
Black River Memorial Hospital Inc is an health care organization with primary practice located at 311 County Road A Ste 1 , Black River Falls WI 54615-8205. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Black River Memorial Hospital Inc can be contacted via phone (715) 284-5361, or through White-Jacobs, Mary Beth via phone (715) 284-5361.

Contact Information

Primary practice address
311 County Road A Ste 1 Black River Falls WI 54615-8205
Phone: (715) 284-5361
Fax: (715) 284-1390
Website:
Map and Directions
Authorized official contact:
Name: White-Jacobs, Mary Beth RN BSN MHA FACHE
Phone: (715) 284-5361

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 1037 Wisconsin

Profile Details

NPI number 1063516078
LBN Legal business name Black River Memorial Hospital Inc
DBA Doing business as
Authorized official White-Jacobs, Mary Beth RN BSN MHA FACHE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2006
Last updated Dec 16th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063516078 NPPES
Wisconsin MEDICAID 43189700

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