BLACK RIVER HEALTH INC
NPI 1255183182
Clinic/Center - Rural Health 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 1255183182), doing business as Black River Healthcare Clinic, is a healthcare organization registered as a rural health in Black River Falls, Wisconsin and active in the NPI registry since April 2024. The organization lists Catherine M Bukowski, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Black River Health Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health Inc's NPI number?
The NPI number for Black River Health Inc is 1255183182. It was assigned to this organization in the NPPES registry on April 3, 2024. The provider is doing business as Black River Healthcare Clinic.
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 Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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), 1 clinician (Medical Oncology) reassigns 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Black River Health Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Quartz and Security Health Plan list Black River Health Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 1255183182
Rural Health organization in Black River Falls, Wisconsin. Organization record, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1255183182 (Entity type: Organization)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Black River Healthcare Clinic (Doing Business As)
- **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
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Medical Oncology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255183182) · Data from the CMS NPPES public registry.