DHS Wisconsin Facilities

FAC

HSPLACU14

License Number

1,037

Faciity Name

BLACK RIVER MEMORIAL HOSPITAL

Address

711 W ADAMS ST

City

BLACK RIVER FALLS

State

WI

Zip Code

54615

Telephone

(715) 284-5361

FAX

(715) 284-1390

Admin First Name

CARL

Admin Last Name

SELVICK

Net Bed Count

25

Team Abbreviation

0

Accrediated

YES

County

JACKSON

Medicare Provider

521333

Medicare Participation Date

05-Feb-04

Subtype

CRITICAL ACCESS HOSPITALS

Notes

None

Information From

DHS Website

Last Updated

2025-11-30 00:00:00