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Organization
PEAK MEDICAL LAS CRUCES NO. 2, LLC
Active
Organization
PEAK MEDICAL LAS CRUCES NO. 2, LLC
Active
Parent organization
PEAK MEDICAL, LLC
Other names
Casa De Oro Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK MEDICAL, LLC
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
(575) 523-4573
Mailing address
1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
(575) 523-4573
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
1031
NM
314000000X
Skilled Nursing Facility
Primary
1031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM01M532
BC/BS OF NM
NM
01
—
0586122
CIGNA
NM
01
—
10003570
LOVELACE SALUD
NM
01
—
17214
PRES SALUD
NM
05
—
59602295
—
NM
01
—
PROVA41094
MOLINA SALUD
NM
Enumeration date
05/22/2006
Last updated
02/03/2017
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