# PEAK MEDICAL LAS CRUCES NO. 2, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEAK MEDICAL, LLC
- **Other names:** Casa De Oro Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295780146
- **Legal business name:** PEAK MEDICAL, LLC
- **Authorized official:** MICHAEL BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4752

## Contact information

- **Practice address:** 1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
- **Practice address phone:** (575) 523-4573
- **Mailing address:** 1005 LUJAN HILL RD, LAS CRUCES, NM 88007-6304
- **Mailing address phone:** (575) 523-4573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 1031 | NM | — |
| 314000000X | Skilled Nursing Facility | 1031 | NM | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 02/03/2017

## 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 |