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BLACK RIVER CHIROPRACTIC CENTER, SC
NPI 1073514527
Chiropractor in Neillsville, WI

Active since August 09, 2005CLIA 52D0396357 · Waiver
154 E 5TH ST, NEILLSVILLE, WI 54456(715) 743-3404(715) 743-4449 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Black River Chiropractic Center, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK RIVER CHIROPRACTIC CENTER, SC (NPI 1073514527) is a healthcare organization registered as a chiropractor in Neillsville, Wisconsin and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ruth V Jean, President, as its authorized official.

NPPES Registry Identity

NPI1073514527
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBLACK RIVER CHIROPRACTIC CENTER, SC
Location Address154 E 5TH STNeillsville, WI 54456-1941
Mailing Address126 S 2nd StBlack River Falls, WI 54615-1726 · (715) 284-2915 · Fax (715) 284-7492
Phone(715) 743-3404
Fax(715) 743-4449
Organization SubpartNo
Authorized OfficialRuth V JeanPresident · (715) 284-2915
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073514527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
154 E 5TH ST, Neillsville, WI 54456
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Other Identifiers 1

Medicaid38996500WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 52D0396357

Black River Chiropractic Clinic · Black River Falls, WI
Active · expires Aug 31, 2026
CLIA Number52D0396357
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Chanelle R. Holliday
Laboratory Phone(715) 284-2915
Laboratory LocationBlack River Chiropractic Clinic126 S 2nd St, Black River Falls, WI 54615
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORAH K GEORGE DC
Chiropractor
154 E 5TH ST
NEILLSVILLE, WI 54456
Clark County (715) 743-3404
BEVERLY ANN KRALY DC
Chiropractor
154 E 5TH ST
NEILLSVILLE, WI 54456
Clark County (715) 743-3404
MRS. MYA ROSE ROWE C.M.T.
Specialist
154 E 5TH ST
NEILLSVILLE, WI 54456
Clark County (715) 937-3115
JUDITH ANN SCHMIDT L.AC
Acupuncturist
154 E 5TH ST
NEILLSVILLE, WI 54456
Clark County (715) 743-3404

Frequently 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 Chiropractic Center, Sc's NPI number?

The NPI number for Black River Chiropractic Center, Sc is 1073514527. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Black River Chiropractic Center, Sc located?

Black River Chiropractic Center, Sc is located at 154 E 5th St, Neillsville, WI 54456. The listed phone number is (715) 743-3404.

What is Black River Chiropractic Center, Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Black River Chiropractic Center, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0396357) is associated with this NPI, valid through August 31, 2026. 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 Chiropractic Center, Sc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.