Idaho Falls Care And Rehabilitation Center
LBN: Peak Medical Of Idaho, Inc.
Idaho Falls Care And Rehabilitation Center is an health care organization with primary practice located at 3111 Channing Way , Idaho Falls ID 83404-7534. 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 Of Idaho, Inc. can be contacted via phone (208) 529-0067, or through Mathies, William A. via phone (505) 821-3355.
Contact Information
Primary practice address
3111 Channing Way
Idaho Falls ID 83404-7534
Phone: (208) 529-0067
Fax: (208) 529-4013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 53 | Idaho |
Profile Details
| NPI number | 1851345417 |
|---|---|
| LBN Legal business name | Peak Medical Of Idaho, Inc. |
| DBA Doing business as | Idaho Falls Care And Rehabilitation Center |
| Authorized official | Mathies, William A. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Sep 28th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851345417 | NPPES |
| Idaho | MEDICAID | 805152300 | |
| Idaho | Other | 2105 | |
| Idaho | Other | 000010013199 |
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