Organization
WHITE HEALTHCARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
200 PATRICKS AVE, WHITE, SD 57276-2047
(605) 629-8871
Mailing address
200 PATRICKS AVE, WHITE, SD 57276-2047
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05001460340865EUT001
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160230
—
SD
01
—
85111
BLUE CROSS BLUE SHIELD
SD
05
—
9572020
—
SD
Enumeration date
10/10/2005
Last updated
10/14/2008
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