Organization
STERLING PARK 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
142 1ST ST N, WAITE PARK, MN 56387-1273
(320) 252-9595
Mailing address
142 1ST ST N, WAITE PARK, MN 56387-1273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
327790
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502490100
—
MN
01
—
7122702
MEDICA
MN
01
—
73694
HEALTHPARTNERS
MN
01
—
9F08ST
BLUE CROSS BLUE SHIELD
MN
01
—
NH0479
UCARE
MN
Enumeration date
10/10/2005
Last updated
10/14/2008
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