Organization
TRACY HEALTHCARE CENTER, INC
Active
Other names
Prairieview Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
250 5TH ST E, TRACY, MN 56175-1537
(507) 629-3331
Mailing address
250 5TH ST E, TRACY, MN 56175-1537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
326818
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4542PR
BLUE CROSS BLUE SHIELD
MN
01
—
7100381
MEDICA
MN
01
—
NH0218
UCARE
MN
Enumeration date
10/10/2005
Last updated
08/22/2020
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