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Organization

PEAK MEDICAL FARMINGTON, LLC

Active
Parent organization
PEAK MEDICAL, LLC
Other names
San Juan 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
806 W MAPLE ST, FARMINGTON, NM 87401-5631
(505) 325-2910
Mailing address
806 W MAPLE ST, FARMINGTON, NM 87401-5631
(505) 325-2910

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1042
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11802260
NM
Enumeration date
05/22/2006
Last updated
03/17/2017
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