Organization
PEAK MEDICAL GALLUP, LLC
Active
Parent organization
PEAK MEDICAL, LLC
Other names
McKinley 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
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(505) 863-9551
Mailing address
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(505) 863-9551
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1040
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81629800
—
NM
Enumeration date
05/23/2006
Last updated
03/17/2017
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