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Organization

PEAK MEDICAL MONTANA OPERATIONS LLC

Active
Parent organization
PEAK MEDICAL LLC
Other names
Whitefish Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEAK MEDICAL LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization

Contact information

Practice address
1305 7TH ST, WHITEFISH, MT 59937-2850
(406) 862-3557
Mailing address
1305 7TH ST, WHITEFISH, MT 59937-2850
(406) 862-3557

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12679
MT
314000000X
Skilled Nursing Facility
Primary
12679
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0534480
MT
05
310233
MT
05
3400867
MT
05
3400878
MT
Enumeration date
05/23/2006
Last updated
09/26/2017
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