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PEAK MEDICAL OF IDAHO LLC NPI 1841244407


NPI Information

NPI: 1841244407
Provider Name: PEAK MEDICAL OF IDAHO LLC

Doing Business As: TWIN FALLS CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 13D0675190

Address:
674 EASTLAND DR
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-4264
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PEAK MEDICAL OF IDAHO LLC is a skilled nursing facility in Twin Falls, ID. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. PEAK MEDICAL OF IDAHO LLC NPI is 1841244407. The provider is registered as an organization entity type.
The provider Is Doing Business As Twin Falls Center.

The provider's business location address is:

674 EASTLAND DR
TWIN FALLS, ID
ZIP 83301-846
Phone: (208) 734-4264
Fax: (208) 734-0647

The provider's authorized official is Michael T. Berg .
The authorized official title is Assistant Secretary and has the following contact phone number (505) 468-4752.

The CLIA number assigned to this NPI record is 13D0675190 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/31/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility51IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010013150OTHERIDAHOBLUE SHIELD OF IDAHO
201057OTHERIDAHOBLUE CROSS
3805152400MEDICAIDIDAHO
4135104MEDICARE OSCAR/CERTIFICATIONIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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