Peak Medical Utah No. 2, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005NCF9220 Issued in UT

Legal business name

PEAK MEDICAL UTAH NO. 2, INC.

Practice address

775 N 200 E
Brigham City, UT 84302-1303

Phone

(435) 723-7777

Fax

(435) 723-8773

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

William A. Mathies

Title

President/Director

Phone

(505) 821-3355

Specialties & licenses 1

Addresses

Other names 1

• Brigham City Nursing & Rehab Doing business as

Part of

Terrace Hghts Nursing H

Member of 1

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

• Sunbridge Healthcare LLC

  • Skilled Nursing Facility
  • Tuscumbia, AL
  • NPI 1285685362

  Member Of

  NPD member

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1326093469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 N 200 E",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843021303",
            "telephone_number": "435-723-7777",
            "fax_number": "435-723-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL UTAH NO. 2, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MATHIES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005NCF9220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brigham City Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lydia Park
• Sydney Parker
• Riley Parkinson
• Kayla Payne
• Peak Medical Peachtree, Inc.
• Adam T Peck
• Tina Peck, LCSW
• Verlicia Annette Perez
• Perry Family Medicine LLC
• Peter C. Knudson DDS, Ms, PC

• Skilled Nursing Facility in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.