| Organization Name: | BLACK RIVER MEMORIAL HOSPITAL |
| NPI Number: | 1073697967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOAN I ESSER (FISCAL SERVICES) |
| Mailing Address: | 711 W Adams St Black River Falls |
| State: | WI US |
| Postal Code: | 546159108 |
| Phone Number: | 7152845361 |
| Fax Number: | 7152847166 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |