Organization
PEAK MEDICAL ROSWELL, LLC
Active
Parent organization
PEAK MEDICAL, LLC
Other names
Mission Arch 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
3200 MISSION ARCH DR, ROSWELL, NM 88201-8307
(575) 624-2583
Mailing address
3200 MISSION ARCH DR, ROSWELL, NM 88201-8307
(575) 624-2583
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
1035
NM
314000000X
Skilled Nursing Facility
Primary
1035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62221001
—
NM
Enumeration date
05/22/2006
Last updated
03/17/2017
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