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Black River Memorial Hospital Inc

Community Based Hospice Care Agency in Black River Falls, WI · enumerated 2006 · authorized official Mary Beth White-Jacobs, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063516078

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Registry record

Entity type Organization (Type 2)
Legal business name Black River Memorial Hospital Inc
Practice address 311 County Road A Ste 1, Black River Falls, WI, 54615
Phone (715) 284-5361
Fax (715) 284-1390
Enumeration date Sep 11, 2006
Last updated in NPPES Dec 16, 2016

Taxonomy & classification

251G00000X Community Based Hospice Care Agency Agencies · License 1037 (WI) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
43189700 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Black River Memorial Hospital Inc?
The NPI for Black River Memorial Hospital Inc is 1063516078, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Black River Memorial Hospital Inc?
NPPES lists Mary Beth White-Jacobs (President & Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-16.