NPI 1063516078

Black River Memorial Hospital INC

Organisation Community Based Hospice Care Agency Black River Falls, WI

Practice location

Address: 311 County Road a STE 1, Black River Falls, WI 54615-8205
Phone: (715) 284-5361
Fax: (715) 284-1390
Mailing address: 711 W Adams St, Black River Falls, WI 54615

Authorised official

Name: Mary Beth White-Jacobs
Title: President & Ceo
Phone: (715) 284-5361

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 1037 (WI)

Other Hospice Care, Community Based providers in Wisconsin →

Registry record

NPI: 1063516078
Entity type: Organization
NPI issued: 11 Sep 2006
Record last updated: 16 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.