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Contact Information

THE PEAK AT SANTA TERESA, INC.
4202 W MCGAFFEY ST
ROSWELL, NM88203-9384
 Phone: 575-623-6749
 Fax: 575-623-1322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for THE PEAK AT SANTA TERESA, INC.

NPI Number 1740315514
LBN Legal business name THE PEAK AT SANTA TERESA, INC.
Authorized official MELISSA KEYSER - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/22/2007
Last updated 12/01/2016 - About 10 years ago
Identifiers
NM License # NO NUMBER
NM Medicaid 218
NM Medicaid 219
NM Medicaid K9392
NM Medicaid M1696
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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