BLACK RIVER HEALTH INC
NPI 1003914011
Medicare Defined Swing Bed Unit in Black River Falls, WI
NPI Status: Active since September 21, 2006
Contact Information
711 W ADAMS ST
BLACK RIVER FALLS, WI
ZIP 54615
Phone: (715) 284-5361
Fax: (715) 284-1390
- Organization
- Medicare Defined Swing Bed Unit
- Accepts Insurance
- CLIA Number: 52D2264019
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 07-07-2026
About BLACK RIVER HEALTH INC
This page provides the complete NPI Profile along with additional information for Black River Health Inc, a provider established in Black River Falls, Wisconsin operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1003914011 assigned on September 2006. The practitioner's primary taxonomy code is 275N00000X with license number 1037 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Catherine M Bukowski (Cfo)
- NPI
- 1003914011
- Provider Name
- BLACK RIVER HEALTH INC
- Entity Type
- Organization
- Location Address
- 711 W ADAMS ST BLACK RIVER FALLS, WI 54615
- Location Phone
- (715) 284-5361
- Location Fax
- (715) 284-1390
- Mailing Address
- 711 W ADAMS ST BLACK RIVER FALLS, WI 54615
- Mailing Phone
- (715) 284-5361
- Mailing Fax
- (715) 284-1390
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2006
- Last Update Date
- 04-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- License No.
- 1037
- License State
- WI
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Oak $1,300 Gold - PPO
- Oak $2,000 Standard Gold - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2264019
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- July 08, 2024
- Certificate Expiration Date
- July 07, 2026
- Laboratory Director
- ANGELA J. MARCIULIONIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Black River Health Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BLACK RIVER HEALTH INC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003914011, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BLACK RIVER FALLS, WI 54615
BLACK RIVER FALLS, WI 54615
BLACK RIVER FALLS, WI 54615
BLACK RIVER FALLS, WI 54615
BLACK RIVER FALLS, WI 54615
BLACK RIVER FALLS, WI 54615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003914011, enumerated as an "organization" on September 21, 2006.
The provider is located at 711 W ADAMS ST BLACK RIVER FALLS, WI 54615 and the phone number is (715) 284-5361.
Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.
