PEAK MEDICAL OF IDAHO, INC.


Address: 3111 Channing Way, Idaho Falls, ID 83404-7534
Phone: 2085290067

PEAK MEDICAL OF IDAHO, INC. (NPI# 1851345417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851345417
Entity Type Organization
Organization Name PEAK MEDICAL OF IDAHO, INC.
Other Organization Name IDAHO FALLS CARE AND REHABILITATION CENTER
Practice Address 3111 Channing Way
Idaho Falls
ID 83404-7534
Mailing Address 101 Sun Ave Ne
Compliance Department
Albuquerque
NM 87109-4373
Practice Telephone 2085290067
Practice Fax Number 2085294013
Mailing Telephone 5054685604
Mailing Fax Number 5054684681
Enumeration Date 2006-05-19
Last Update Date 2009-09-28
Authorized Official Name WILLIAM A. MATHIES (PRESIDENT DIRECTOR)
Authorized Official Telephone 5058213355
Is Organization Subpart Y
Parent Organization Name SUNBRIDGE HEALTHCARE CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 53 ID Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUE CROSS 2105 01
ID BLUE SHIELD OF IDAHO 000010013199 01
ID 805152300 05

Other Provider/Organization Names

Other Name Type Code
Idaho Falls Care and Rehabilitation Center Doing Business As Name - Organization

Office Location

Street Address 3111 CHANNING WAY
City IDAHO FALLS
State ID
Zip Code 83404-7534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417578519 Tailer Paige Fowler Physical Therapy Assistant 3111 Channing Way, Idaho Falls, ID 83404-7534 2020-04-29
1184265035 Shelley Mccarthy Corrigan Physical Therapist 3111 Channing Way, Idaho Falls, ID 83404-7534 2019-10-02
1104380146 Aaron Ashton May Occupational Therapist 3111 Channing Way, Idaho Falls, ID 83404-7534 2019-01-23
1144784349 Jamie Lyn Seeley Physical Therapy Assistant 3111 Channing Way, Idaho Falls, ID 83404-7534 2019-01-22
1568932838 Megan Barela Occupational Therapy Assistant 3111 Channing Way, Idaho Falls, ID 83404-7534 2018-11-29
1043795768 Dawna Marie Henderson Occupational Therapy Assistant 3111 Channing Way, Idaho Falls, ID 83404-7534 2018-09-27
1467948448 Kara Kristin Von Burg Speech-Language Pathologist 3111 Channing Way, Idaho Falls, ID 83404-7534 2018-07-02
1538676234 Shelby Ann Mason Physical Therapy Assistant 3111 Channing Way, Idaho Falls, ID 83404-7534 2018-01-03
1427572791 Kassandra Noelle Stine Physical Therapy Assistant 3111 Channing Way, Idaho Falls, ID 83404-7534 2017-07-28
1457872202 Eli Wallace Hanks Occupational Therapy Assistant 3111 Channing Way, Idaho Falls, ID 83404-7534 2017-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
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1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366860660 Teton Hospitalist Services, Pllc Skilled Nursing Facility 3100 Channing Way, Idaho Falls, ID 83404-7533 2014-04-03
1649517806 Empres At Idaho Falls, LLC Skilled Nursing Facility 3111 Channing Way, Idaho Falls, ID 83404-7534 2013-01-08
1043264021 Eastern Idaho Health Services, Inc. Skilled Nursing Facility 3100 Channing Way, Idaho Falls, ID 83404-7533 2006-05-22

Providers in the same taxonomy and state

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
1851836381 Tanabell Health Services, Inc Skilled Nursing Facility 1134 Cheney Drive West, Twin Falls, ID 83301 2016-12-19
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
1437603008 Twin Falls of Cascadia, LLC Skilled Nursing Facility 674 Eastland Drive, Twin Falls, ID 83301-6846 2016-08-11
1235683806 Payette of Cascadia, LLC Skilled Nursing Facility 1019 3rd Avenue South, Payette, ID 83661-2832 2016-08-11
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Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

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.

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