Mesa Manor Center

LBN: Peak Medical Colorado No. 2, Llc
Mesa Manor Center is an health care organization with primary practice located at 2901 N 12Th St , Grand Junction CO 81506-2811. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Peak Medical Colorado No. 2, Llc can be contacted via phone (970) 243-7211, or through Berg, Michael T via phone (505) 821-3355.

Contact Information

Primary practice address
2901 N 12Th St Grand Junction CO 81506-2811
Phone: (970) 243-7211
Fax: (970) 245-5104
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T
Phone: (505) 821-3355

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0478 Colorado

Profile Details

NPI number 1720038854
LBN Legal business name Peak Medical Colorado No. 2, Llc
DBA Doing business as Mesa Manor Center
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 Yes
Enumeration date May 11th, 2006
Last updated Dec 21st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720038854 NPPES
Colorado MEDICAID 26837081
Colorado MEDICAID 46279865

Popular Providers