Bennett Hills Center

LBN: Peak Medical Of Boise, Llc
Bennett Hills Center is an health care organization with primary practice located at 1220 Montana Street , Gooding ID 83330-1856. 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 Boise, Llc can be contacted via phone (208) 934-5601, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
1220 Montana Street Gooding ID 83330-1856
Phone: (208) 934-5601
Fax: (208) 934-8154
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

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

Profile Details

NPI number 1013237528
LBN Legal business name Peak Medical Of Boise, Llc
DBA Doing business as Bennett Hills Center
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2010
Last updated May 16th, 2016 - 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 1013237528 NPPES
Idaho MEDICAID 8085076

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