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Contact Information

PEAK MEDICAL LAS CRUCES NO. 2, LLC
1005 LUJAN HILL RD
LAS CRUCES, NM88007-6304
 Phone: 575-523-4573
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
Indicates primary specialty

NPI Profile & details for PEAK MEDICAL LAS CRUCES NO. 2, LLC

NPI # 1295780146
LBN Legal business name PEAK MEDICAL LAS CRUCES NO. 2, LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/22/2006
Last updated 02/03/2017 - About 9 years ago
Identifiers
NM License # 1031
NM Medicaid 59602295
NM Other 00NM01M532 BC/BS OF NM
NM Other 0586122 CIGNA
NM Other 10003570 LOVELACE SALUD
NM Other PROVA41094 MOLINA SALUD
NM Other 17214 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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