Black River Memorial Hospital Inc
NPI 1063516078ActiveOrganization· Hospice Care, Community Based· Black River Falls, WI
Hospice Care, Community Based in Black River Falls, Wisconsin, registered in NPPES in September 2006. The authorized official on file is Mary Beth White-Jacobs, RN BSN MHA FACHE, President & Ceo.
Overview
| NPI | 1063516078 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2006 |
| Last updated in NPPES | Dec 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | 1037 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|