MEDICARE: BUTTE HEALTHCARE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	ALF233	NE
2	314000000X	Skilled Nursing Facility	054001	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00779	OTHER	NE	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1235127721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTTE HEALTHCARE CENTER INC

Provider Business Mailing Address
First Line	:	210 BROADWAY STREET
Second Line	:
City	:	BUTTE
State	:	NE
Zip	:	68722
Country	:	US
Telephone Number	:	402-775-2355
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 BROADWAY STREET
Second Line	:
City	:	BUTTE
State	:	NE
Zip	:	68722
Country	:	US
Telephone Number	:	402-775-2355
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOWIE GROFF
Credential	:
Telephone Number	:	952-888-2923

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	09/22/2023

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