White Healthcare Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

05001460340865EUT001 Issued in SD

Legal business name

WHITE HEALTHCARE CENTER INC

Practice address

200 Patricks Ave
White, SD 57276-2047

Phone

(605) 629-8871

NPI assigned

Oct 10, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Howie Groff

Title

President

Phone

(952) 888-2923

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1104814672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PATRICKS AVE",
            "city": "WHITE",
            "state": "SD",
            "postal_code": "572762047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATRICKS AVE",
            "city": "WHITE",
            "state": "SD",
            "postal_code": "572762047",
            "telephone_number": "605-629-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "HOWIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-888-2923"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "05001460340865EUT001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9572020",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160230",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85111",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynelle Hagedorn
• Hendricks Community Hospital Association
• Lori Sapp, PT
• Heather D Thompson, RN
• White Ambulance Service

• Skilled Nursing Facility in White, SD
• Providers in White, SD by specialty
• Skilled Nursing Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.