Organization
PEAK MEDICAL COLORADO NO. 3 LLC
Active
Parent organization
PEAK MEDICAL LLC
Other names
Golden Peaks 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
1005 E ELIZABETH ST, FORT COLLINS, CO 80524-3911
(970) 482-2525
Mailing address
1005 E ELIZABETH ST, FORT COLLINS, CO 80524-3911
(970) 482-2525
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01404849
—
CO
01
—
63718
FED BC/CS
CO
01
—
669471
BC/BS
CO
Enumeration date
05/19/2006
Last updated
07/08/2021
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