BLACK RIVER HEALTH INC; NPI #1285782250

Contact Information

BLACK RIVER HEALTH INC

711 W ADAMS ST
BLACK RIVER FALLS, WI 54615-9108

Phone: 715-284-5361
Fax: 715-284-1398
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for BLACK RIVER HEALTH INC

NPI Number 1285782250

LBN Legal business name BLACK RIVER HEALTH INC

Authorized official CATHY BUKOWSKI - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/08/2007

Last updated 04/04/2025 - More than a year ago

Identifiers

WI	License #	1037
WI	Medicaid	41754300

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BLACK RIVER HEALTH INC

Contact Information

Specialty

Oxygen Equipment & Supplies

NPI Profile & details for BLACK RIVER HEALTH INC

Reviews for BLACK RIVER HEALTH INC