Peak Medical Montana Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12679 Issued in MT

Legal business name

PEAK MEDICAL MONTANA OPERATIONS LLC

Doing business as

Whitefish Center

Practice address

1305 7TH St
Whitefish, MT 59937-2850

Phone

(406) 862-3557

NPI assigned

May 23, 2006

Organization subpart

Yes

Parent organization

PEAK MEDICAL LLCAs reported in NPPES

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 2

Addresses

Other identifiers 4

Other names 1

• Whitefish Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Sunbridge Healthcare LLC

  dba Elaine Center at Hadley

  • Skilled Nursing Facility
  • Hadley, MA
  • NPI 1063464782

  Member Of

  NPD member

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1255386173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 7TH ST",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372850",
            "telephone_number": "406-862-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 7TH ST",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372850",
            "telephone_number": "406-862-3557"
        }
    ],
    "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": "2017-09-26",
        "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": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "12679",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "12679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310233",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400878",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0534480",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400867",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitefish Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie M Paidas, PHD, LCPC
• Pamela M Lilly DDS PC
• Patricia M Cole MD PC
• Kevin S Payne, D.O., M.P.H.
• Peaceful Roots Therapy, PLLC
• Peak Orthopedics and Sports Medicine PLLC
• Danielle Pearce, N.D.
• Laura Pearce
• Jonni Leigh Pekus, CST/CSFA
• Melissa Renee Pfannenstiel, L.AC.

• Skilled Nursing Facility in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.