Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black River Memorial Hospital Inc

Organization Community Based Hospice Care Agency · NPI 1063516078

Black River Memorial Hospital Inc is a Community Based Hospice Care Agency in Black River Falls, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

311 County Road A Ste 1
Black River Falls, WI 54615-8205
Phone: (715) 284-5361
Fax: (715) 284-1390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Based Hospice Care Agency (primary) Taxonomy 251G00000X · Licence 1037 (WI)

Record details

NPI number1063516078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Beth White-Jacobs — President & Ceo · (715) 284-5361
NPI enumeratedSeptember 11, 2006
Last updated in NPPESDecember 16, 2016
Mailing address711 W Adams St, Black River Falls, WI 54615