Mission Arch Center

LBN: Peak Medical Roswell, Llc
Mission Arch Center is an health care organization with primary practice located at 3200 Mission Arch Dr , Roswell NM 88201-8307. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Peak Medical Roswell, Llc can be contacted via phone (575) 624-2583, or through Berg, Michael via phone (505) 468-4752.

Contact Information

Primary practice address
3200 Mission Arch Dr Roswell NM 88201-8307
Phone: (575) 624-2583
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 1035 New Mexico
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1035 New Mexico

Profile Details

NPI number 1952355885
LBN Legal business name Peak Medical Roswell, Llc
DBA Doing business as Mission Arch Center
Authorized official Berg, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2006
Last updated Mar 17th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952355885 NPPES
New Mexico MEDICAID 62221001

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