Organization
BLACK RIVER HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY BUKOWSKI (CFO)
(715) 284-3661
Entity
Organization
Contact information
Practice address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-5361
(715) 284-1398
Mailing address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-5361
(715) 284-1398
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1037
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41754300
—
WI
Enumeration date
01/08/2007
Last updated
04/04/2025
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