NPI 1194762815

Peak Medical of Boise LLC

Organisation Skilled Nursing Facility Boise, ID

Practice location

Address: 8211 W Ustick Rd, Boise, ID 83704-5756
Phone: (208) 375-3700
Fax: (208) 375-3760

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 Licence 47 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1194762815
Entity type: Organization
NPI issued: 1 Jun 2006
Record last updated: 31 Mar 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.