Peak Medical Gallup, LLC
Skilled Nursing Facility in Gallup, NM. Organization (NPI-2).
NPI number1699720227
StatusActive
Last updated in NPPESMar 17, 2017
Details
- NPI
- 1699720227
- Entity type
- Organization (NPI-2)
- Legal business name
- Peak Medical Gallup, LLC
- Organization subpart
- Yes
- Enumeration date
- May 23, 2006
- Last updated
- Mar 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 1040 | NM | Yes |
Other names
- Mckinley Center (Doing Business As)
Practice location
306 E Nizhoni BlvdGallup, NM 87301-5794
Phone 505-863-9551
Mailing address
306 E Nizhoni BlvdGallup, NM 87301-5794
Phone 505-863-9551
Authorized official
Michael Berg
Assistant Secretary
5054684752
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