NPI 1851345417

Peak Medical of Idaho, INC.

Organisation Skilled Nursing Facility Idaho Falls, ID

Practice location

Address: 3111 Channing Way, Idaho Falls, ID 83404-7534
Phone: (208) 529-0067
Fax: (208) 529-4013
Mailing address: 101 Sun Ave NE Compliance Department, Albuquerque, NM 87109-4373

Authorised official

Name: William A. Mathies
Title: President Director
Phone: (505) 821-3355

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 53 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1851345417
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 28 Sep 2009

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.