Organization
PEAK MEDICAL LAS CRUCES, LLC
Active
Parent organization
PEAK MEDICAL, LLC
Other names
Casa Del Sol 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
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Mailing address
2905 MISSOURI AVE, LAS CRUCES, NM 88011-4813
(575) 522-0404
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
—
—
314000000X
Skilled Nursing Facility
Primary
1032
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00M059
BC/BS OF NM
NM
01
—
32922
PRES SALUD
NM
05
—
72952032
—
NM
Enumeration date
05/22/2006
Last updated
12/20/2023
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