| Black River Health Inc | |
|
610 W Adams St Black River Falls WI 54615-9110 | |
| (715) 284-4311 | |
| Not Available |
| Full Name | Black River Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 W Adams St, Black River Falls, Wisconsin |
| Authorized Official Name and Position | Catherine M Bukowski (CFO) |
| Authorized Official Contact | 7152843661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black River Health Inc 711 W Adams St Black River Falls WI 54615-5052 Ph: (715) 284-5361 | Black River Health Inc 610 W Adams St Black River Falls WI 54615-9110 Ph: (715) 284-4311 |
| NPI Number | 1568196764 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 04/04/2025 |
| Medicare PECOS PAC ID | 3173431178 |
|---|---|
| Medicare Enrollment ID | O20220811003355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568196764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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