PEAK MEDICAL OF IDAHO LLC (NPI# 1841244407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841244407 |
| Entity Type | Organization |
| Organization Name | PEAK MEDICAL OF IDAHO LLC |
| Other Organization Name | TWIN FALLS CENTER |
| Practice Address |
674 Eastland Dr Twin Falls ID 83301-6846 |
| Practice Telephone | 2087344264 |
| Practice Fax Number | 2087340647 |
| Mailing Telephone | 2087344264 |
| Mailing Fax Number | 2087340647 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | MICHAEL T. BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684752 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEAK MEDICAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 51 | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD OF IDAHO | 000010013150 | 01 |
| ID | BLUE CROSS | 01057 | 01 |
| ID | 805152400 | 05 |
| Other Name | Type Code |
|---|---|
| Twin Falls Center | Doing Business As Name - Organization |
| Street Address |
674 EASTLAND DR |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-6846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205291978 | Brian Rhodes | Skilled Nursing Facility | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2015-12-23 |
| 1669863411 | Grant Hillestad | Occupational Therapist | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2015-02-16 |
| 1528482874 | Rebecca Spies | Speech-Language Pathologist | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2014-02-06 |
| 1467797340 | Denise Michells Flemming I | Occupational Therapy Assistant | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2012-12-04 |
| 1043555014 | Sarah Bollig | Occupational Therapy Assistant | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2012-12-03 |
| 1689919706 | Martin Okelberry | Physical Therapy Assistant | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1437603008 | Twin Falls of Cascadia, LLC | Skilled Nursing Facility | 674 Eastland Drive, Twin Falls, ID 83301-6846 | 2016-08-11 |
| 1952348641 | St Lukes Magic Valley Regional Medical Center | Skilled Nursing Facility | 801 Poleline Rd W, Twin Falls, ID 83301-5799 | 2006-06-01 |
| 1285688739 | Bridgeview Medical Investors, LLC | Skilled Nursing Facility | 1828 Bridgeview Blvd, Twin Falls, ID 83301-3051 | 2006-05-20 |
| 1205291978 | Brian Rhodes | Skilled Nursing Facility | 674 Eastland Dr, Twin Falls, ID 83301-6846 | 2015-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1497233514 | Boise Nursing and Rehab Center LLC | Skilled Nursing Facility | 1140 N Allumbaugh St, Boise, ID 83704-8716 | 2018-07-31 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1871042663 | Ahc of Lewiston, LLC | Skilled Nursing Facility | 2852 Juniper Dr, Lewiston, ID 83501-4719 | 2016-09-22 |
| 1063966638 | Boise West of Cascadia, LLC | Skilled Nursing Facility | 8211 Ustick Road, Boise, ID 83704-5756 | 2016-08-11 |
| 1861946436 | Bellevue of Cascadia, LLC | Skilled Nursing Facility | 620 N. 6th Street, Bellevue, ID 83313 | 2016-08-11 |
| 1235683806 | Payette of Cascadia, LLC | Skilled Nursing Facility | 1019 3rd Avenue South, Payette, ID 83661-2832 | 2016-08-11 |
| 1326409798 | Ahc of Coeur D Alene LLC | Skilled Nursing Facility | 1578 W Riverstone Dr, Coeur D Alene, ID 83814 | 2016-03-14 |
| 1275902520 | Jack Lane Iv | Skilled Nursing Facility | 615 29th St, Lewiston, ID 83501-3341 | 2015-09-16 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.