San Juan Center

LBN: Peak Medical Farmington, Llc
San Juan Center is an health care organization with primary practice located at 806 W Maple St , Farmington NM 87401-5631. 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 Farmington, Llc can be contacted via phone (505) 325-2910, or through Berg, Michael via phone (505) 468-4752.

Contact Information

Primary practice address
806 W Maple St Farmington NM 87401-5631
Phone: (505) 325-2910
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1042 New Mexico

Profile Details

NPI number 1942255880
LBN Legal business name Peak Medical Farmington, Llc
DBA Doing business as San Juan Center
Authorized official Berg, Michael
Entity Organization
Organization subpart 1 Yes
Enumeration date May 22nd, 2006
Last updated Mar 17th, 2017 - about 7 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 1942255880 NPPES
New Mexico MEDICAID 11802260

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