JACKSON COUNTY PUBLIC HEALTH
NPI 1720311475
Public Health or Welfare in Black River Falls, WI

Q: What is Jackson County Public Health's NPI number?

The NPI number for Jackson County Public Health is 1720311475. It was assigned to this organization in the NPPES registry on September 14, 2009.

Q: What is Jackson County Public Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Active since September 14, 2009CLIA 52D0662089 · Waiver

420 HWY 54 WEST, BLACK RIVER FALLS, WI 54615(715) 284-4301(715) 284-7713 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jackson County Public Health NPPES

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

JACKSON COUNTY PUBLIC HEALTH (NPI 1720311475) is a healthcare organization registered as a public health or welfare in Black River Falls, Wisconsin and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Todd Bowen, Director, as its authorized official.

NPPES Registry Identity

NPI1720311475

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NameJACKSON COUNTY PUBLIC HEALTH

Location Address420 HWY 54 WESTBlack River Falls, WI 54615-0457

Mailing AddressPo Box 457, 420 Hwy 54 WestBlack River Falls, WI 54615-0457 · (715) 284-4301 · Fax (715) 284-7713

Phone(715) 284-4301

Fax(715) 284-7713

Organization SubpartNo

Authorized OfficialTodd BowenDirector · (715) 284-4301

Enumeration DateSeptember 14, 2009

✔ NPI 1720311475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

420 HWY 54 WEST, Black River Falls, WI 54615

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Other Identifiers 1

Medicaid41858500WI

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 52D0662089

Jackson County Public Health Dept · Black River Falls, WI

Active · expires Aug 31, 2026

CLIA Number52D0662089

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorChristine M. Hovell, Rn

Laboratory Phone(715) 284-4301

Laboratory LocationJackson County Public Health Dept421 County Road R, Black River Falls, WI 54615

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

HEATHER LEE HAINES MA, LPC

Social Worker (Clinical)

420 HWY 54 WEST
BLACK RIVER FALLS, WI 54615

Jackson County (715) 284-4301

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 Jackson County Public Health's NPI number?

The NPI number for Jackson County Public Health is 1720311475. It was assigned to this organization in the NPPES registry on September 14, 2009.

Where is Jackson County Public Health located?

Jackson County Public Health is located at 420 Hwy 54 West, Black River Falls, WI 54615. The listed phone number is (715) 284-4301.

What is Jackson County Public Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Jackson County Public Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0662089) 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 Jackson County Public Health was last updated on September 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.