NPIMap

Organization Active NPI

Peak Medical Montana Operations, LLC

  • Skilled Nursing Facility
  • Butte, MT
National Provider Identifier
1003861899
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
13066 Issued in MT
Legal business name
PEAK MEDICAL MONTANA OPERATIONS, LLC
Practice address
2400 Continental Dr
Butte, MT 59701-6563
Phone
(406) 723-6556
NPI assigned
May 23, 2006
Organization subpart
Yes
Parent organization
PEAK MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 13066 MT Primary

Addresses

Primary practice location

2400 Continental Dr
Butte, MT 59701-6563

Mailing address

2400 Continental Dr
Butte, MT 59701-6563
Phone (406) 723-6556

Other identifiers 4

IdentifierTypeStateIssuer
3400930MedicaidMT
0534514MedicaidMT
310267MedicaidMT
3400935MedicaidMT

Other names 1

  • Butte Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2400 Continental Dr
Butte, MT 59701
Phone (406) 381-2186

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1003861899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016563",
            "telephone_number": "406-723-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016563",
            "telephone_number": "406-723-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL MONTANA OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK MEDICAL LLC",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "13066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400930",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534514",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310267",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400935",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butte Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.