Provider Demographics
NPI:1235127721
Name:BUTTE HEALTHCARE CENTER INC
Entity Type:Organization
Organization Name:BUTTE HEALTHCARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GROFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-888-2923
Mailing Address - Street 1:210 BROADWAY STREET
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:NE
Mailing Address - Zip Code:68722
Mailing Address - Country:US
Mailing Address - Phone:402-775-2355
Mailing Address - Fax:
Practice Address - Street 1:210 BROADWAY STREET
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:NE
Practice Address - Zip Code:68722
Practice Address - Country:US
Practice Address - Phone:402-775-2355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEALF233310400000X
NE054001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00779OtherBLUE CROSS BLUE SHIELD
NE=========00Medicaid
NE=========11Medicaid
NE00779OtherBLUE CROSS BLUE SHIELD