Organization
KARLSTAD 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
304 WASHINGTON AVE W, KARLSTAD, MN 56732-4018
(218) 436-2161
Mailing address
304 WASHINGTON AVE W, KARLSTAD, MN 56732-4018
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330265
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012028600
—
MN
01
—
8706KA
BLUE CROSS BLUE SHIELD
MN
01
—
NH0430
UCARE
MN
Enumeration date
10/10/2005
Last updated
10/20/2008
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