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

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.

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
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

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.

Social Worker (Clinical)
420 HWY 54 WEST
BLACK RIVER FALLS, WI 54615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720311475, enumerated as an "organization" on September 14, 2009.

The provider is located at 420 HWY 54 WEST BLACK RIVER FALLS, WI 54615 and the phone number is (715) 284-4301.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.