Organization
PEAK MEDICAL OF UTAH, LLC
Active
Parent organization
PEAK MEDICAL LLC
Other names
Washington Terrace Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK MEDICAL LLC
Authorized official
STEVE ROTHWELL (PRESIDENT DIRECTOR)
(505) 821-3355
Entity
Organization
Contact information
Practice address
400 E 5350 S, OGDEN, UT 84405-6931
(801) 479-9855
(801) 479-6219
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2014NCF97
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001988010
—
NV
05
—
120790300
—
WY
01
—
31118670601001
BLUE CROSS
UT
05
—
806433900
—
ID
Enumeration date
05/24/2006
Last updated
01/15/2016
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