PEAK MEDICAL ROSWELL, LLC
Alzheimer Center
Roswell, New Mexico
Provider NPI: 1952355885
Organization Information:Organization Name: PEAK MEDICAL ROSWELL, LLC
Practice Location:
3200 MISSION ARCH DR ROSWELL, NM 88201 US
Tel: 575-624-2583 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:
3200 MISSION ARCH DR ROSWELL, NM 88201 US
Tel: 575-624-2583 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 | 1035 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NM | 1035 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
62221001 | NM | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin