NPI 1013237528
Peak Medical of Boise, LLC
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
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.