OrganizationActive
Black River Memorial Hospital Inc
NPI 1215085253 · Home Health Agency · Black River Falls, WI
Black River Memorial Hospital Inc is a Home Health Agency organization in Black River Falls, WI (NPI 1215085253).
Provider details
- NPI number
- 1215085253
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Beth White-Jacobs, President & Ceo(715) 284-5361
- License
- 527298 (WI)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
311 County Road a Ste 1
Black River Falls, WI 54615-8205
Phone: (715) 284-5361
Fax: (715) 284-1398
Street-level locationGet directions
Mailing address
711 W Adams St
Black River Falls, WI 54615-9108
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2016-12-16
Frequently asked questions
- What is Black River Memorial Hospital Inc's NPI number?
- Black River Memorial Hospital Inc's National Provider Identifier (NPI) is 1215085253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Memorial Hospital Inc?
- Black River Memorial Hospital Inc is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Black River Memorial Hospital Inc located?
- Black River Memorial Hospital Inc's practice location on file with NPPES is 311 County Road a Ste 1, Black River Falls, WI 54615-8205.
- What is Black River Memorial Hospital Inc's phone number?
- The practice phone number listed in the NPPES registry for Black River Memorial Hospital Inc is (715) 284-5361.
- Who is the authorized official for Black River Memorial Hospital Inc?
- The authorized official listed on Black River Memorial Hospital Inc's NPPES record is Mary Beth White-Jacobs, President & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Memorial Hospital Inc's NPI active?
- Yes — Black River Memorial Hospital Inc's NPI (1215085253) is active in the NPPES registry as of the last update on 2016-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.