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Contact Information

PEAK MEDICAL LAS CRUCES, LLC
2905 MISSOURI AVE
LAS CRUCES, NM88011-4813
 Phone: 575-522-0404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for PEAK MEDICAL LAS CRUCES, LLC

NPI Number 1164476008
LBN Legal business name PEAK MEDICAL LAS CRUCES, LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/22/2006
Last updated 12/20/2023 - About 2 years ago
Identifiers
NM License # 1032
NM Medicaid 72952032
NM Other 00NM00M059 BC/BS OF NM
NM Other 32922 PRES SALUD
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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