PEAK MEDICAL LAS CRUCES NO. 2, LLC
Alzheimer Center
Las Cruces, New Mexico
Provider NPI: 1295780146
Organization Information:Organization Name: PEAK MEDICAL LAS CRUCES NO. 2, LLC
Practice Location:
1005 LUJAN HILL RD LAS CRUCES, NM 88007 US
Tel: 575-523-4573 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1005 LUJAN HILL RD LAS CRUCES, NM 88007 US
Tel: 575-523-4573 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | NM | 1031 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NM | 1031 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CIGNA | 0586122 | NM | 01 |
LOVELACE SALUD | 10003570 | NM | 01 |
PRES SALUD | 17214 | NM | 01 |
MOLINA SALUD | PROVA41094 | NM | 01 |
59602295 | NM | 05 | |
BC/BS OF NM | 00NM01M532 | NM | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin