BLACK RIVER HEALTH INC
NPI 1003914011
Medicare Defined Swing Bed Unit in Black River Falls, WI
About Black River Health Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK RIVER HEALTH INC (NPI 1003914011) is a healthcare organization registered as a medicare defined swing bed unit in Black River Falls, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Catherine M Bukowski, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black River Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
230Medicare enrollment records show 230 clinicians reassign Medicare billing to Black River Health Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 230Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D2264019
Black River Healthcare Clinic - Black River Health, Inc · Black River Falls, WIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Black River Health Inc's NPI number?
The NPI number for Black River Health Inc is 1003914011. It was assigned to this organization in the NPPES registry on September 21, 2006.
Where is Black River Health Inc located?
Black River Health Inc is located at 711 W Adams St, Black River Falls, WI 54615. The listed phone number is (715) 284-5361.
What is Black River Health Inc's specialty?
The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
Is Black River Health Inc enrolled in Medicare?
Yes. Black River Health Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black River Health Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 230 clinicians in 32 Medicare specialties reassign their Medicare billing to Black River Health Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (37), Diagnostic Radiology (30) and Family Practice (24). Of these, 4 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Black River Health Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2264019) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Black River Health Inc was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Black River Health Inc · NPI 1003914011
Medicare Defined Swing Bed Unit organization in Black River Falls, Wisconsin. Organization record, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1003914011 (Entity type: Organization)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Medicare Defined Swing Bed Unit · taxonomy 275N00000X
- **Organization subpart:** No
- **Authorized official:** Catherine Bukowski, CFO
## Practice location
- **Address:** 711 W ADAMS ST, Black River Falls, WI 54615-9108
- **Phone:** (715) 284-5361 · **Fax:** (715) 284-1390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 230 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (37), Diagnostic Radiology (30), Family Practice (24); 4 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1003914011/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003914011) · Data from the CMS NPPES public registry.