BLACK RIVER MEMORIAL HOSPITAL INC (NPI# 1285782250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285782250 |
| Entity Type | Organization |
| Organization Name | BLACK RIVER MEMORIAL HOSPITAL INC |
| Practice Address |
311 County Road A Ste 2 Black River Falls WI 54615-8205 |
| Mailing Address |
711 W Adams St Black River Falls WI 54615-9108 |
| Practice Telephone | 7152845361 |
| Practice Fax Number | 7152841398 |
| Mailing Telephone | 7152845361 |
| Mailing Fax Number | 7152841398 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-12-16 |
| Authorized Official Name | MARY BETH WHITE-JACOBS (PRESIDENT & CEO) |
| Authorized Official Telephone | 7152845361 |
| Authorized Official Credential | RN BSN MHA FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
1037 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41754300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063516078 | Black River Memorial Hospital Inc | Hospice Care, Community Based | 311 County Road A Ste 1, Black River Falls, WI 54615-8205 | 2006-09-11 |
| 1215085253 | Black River Memorial Hospital Inc | Home Health | 311 County Road A Ste 1, Black River Falls, WI 54615-8205 | 2007-01-08 |
| 1811940331 | Black River Memorial Hospital Inc | General Acute Care Hospital | 711 W Adams St, Black River Falls, WI 54615-9108 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLACK RIVER MEMORIAL HOSPITAL INC | 711 W Adams St, Black River Falls, WI 54615-9108 |
| Street Address |
311 COUNTY ROAD A STE 2 |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-8205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639334543 | Symphony Respiratory Services | Durable Medical Equipment & Medical Supplies | 711 W Adams St, Black River Falls, WI 54615-9108 | 2008-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346804770 | Chartwell Midwest Wisconsin, LLC | Durable Medical Equipment & Medical Supplies | 5249 E Terrace Dr Rm 1201, Madison, WI 53718-8339 | 2019-05-01 |
| 1134782964 | Chartwell Midwest Wisconsin, LLC | Durable Medical Equipment & Medical Supplies | 1345 Deming Way Ste 102, Middleton, WI 53562-3688 | 2019-04-17 |
| 1306324694 | Erickson Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 325 N Sawyer St, Oshkosh, WI 54902-4252 | 2018-07-30 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1063928208 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 2885 N Mayfair Rd Ste 2, Wauwatosa, WI 53222-4404 | 2017-12-26 |
| 1831536267 | Family Medical Supply and Cpap Store Inc | Durable Medical Equipment & Medical Supplies | 705 State St, La Crosse, WI 54601-3344 | 2013-05-24 |
| 1740522945 | Metz Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1801 S Green Bay Rd, Racine, WI 53406-4605 | 2013-03-26 |
| 1275778078 | Guardian Homes, Inc. | Durable Medical Equipment & Medical Supplies | 10231 Penny Lake Rd, Rosholt, WI 54473-8862 | 2008-12-08 |
| 1659537157 | Rapid Rehab, LLC | Durable Medical Equipment & Medical Supplies | 1853 N Stevens St, Suite B, Rhinelander, WI 54501-2163 | 2008-08-04 |
| 1164694923 | Home Medical Products and Services, LLC | Durable Medical Equipment & Medical Supplies | 8668 Highway 51 N, Minocqua, WI 54548-9334 | 2008-04-01 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
Please comment or provide details below to improve the information on BLACK RIVER MEMORIAL HOSPITAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.