Whalio Doctors

NPI 1013237528

Peak Medical of Boise, LLC

Organisation Skilled Nursing Facility Gooding, ID

Practice location

Address
1220 Montana Street, Gooding, ID 83330-1856
Phone
(208) 934-5601
Fax
(208) 934-8154

Authorised official

Name
Michael T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1013237528
Entity type
Organization
NPI issued
7 Jun 2010
Record last updated
16 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.