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 711 W Adams St , Black River Falls WI 54615-9108. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Black River Memorial Hospital Inc can be contacted via phone (715) 284-5361, or through Selvick, Carl via phone (715) 284-5361.

Contact Information

Primary practice address
711 W Adams St Black River Falls WI 54615-9108
Phone: (715) 284-5361
Fax: (715) 284-1390
Website:
Map and Directions
Authorized official contact:
Name: Selvick, Carl PHARMD, MBA, FACHE
Phone: (715) 284-5361

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 1037 Wisconsin

Profile Details

NPI number 1811940331
LBN Legal business name Black River Memorial Hospital Inc
DBA Doing business as
Authorized official Selvick, Carl PHARMD, MBA, FACHE
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated May 17th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811940331 NPPES
Wisconsin MEDICAID 43417200
Wisconsin MEDICAID 32946600
Wisconsin MEDICAID 41221700
Wisconsin MEDICAID 11018300
Wisconsin MEDICAID 11018310
Wisconsin MEDICAID 32768200

Popular Providers