Peak Medical of Idaho LLC

NPI #1841244407 in Twin Falls, Idaho

Provider Information

NPI Number
1841244407
Entity Type
Organization
Organization Name
Peak Medical of Idaho LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PEAK MEDICAL LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 19, 2006
Last Updated
Mar 31, 2016

Practice Location

Address
674 EASTLAND DR
State
Idaho
ZIP Code
83301-6846
Phone
(208) 734-4264

Authorized Official

Name
MICHAEL T. BERG
Title
ASSISTANT SECRETARY
Phone
(505) 468-4752

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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