NPIMap

Organization Active NPI

Peak After Hours LLC

  • Primary Care Clinic/Center
  • Montrose, CO
National Provider Identifier
1578095832
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CAPN0000451CNP Issued in CO
Legal business name
PEAK AFTER HOURS LLC
Practice address
1550 Niagara Rd
Montrose, CO 81401-5027
Phone
(970) 497-4921
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Mr. Jason Adragna
Title
Business Operations Director
Phone
(970) 497-4921

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CAPN0000451CNP CO Primary
Primary Care Clinic/Center 261QP2300X PA.0003531 CO
Primary Care Clinic/Center 261QP2300X PA.0004519 CO
Primary Care Clinic/Center 261QP2300X DR.0052752 CO

Addresses

Primary practice location

1550 Niagara Rd
Montrose, CO 81401-5027

Mailing address

1550 Niagara Rd
Montrose, CO 81401-5027
Phone (970) 497-4921

Other identifiers 3

IdentifierTypeStateIssuer
85681369MedicaidCO
13830074MedicaidCO
63020254MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1578095832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NIAGARA RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015027",
            "telephone_number": "970-497-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NIAGARA RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015027",
            "telephone_number": "970-497-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK AFTER HOURS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "ADRAGNA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "970-497-4921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "CAPN0000451CNP",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "PA.0003531",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "PA.0004519",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "DR.0052752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85681369",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13830074",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63020254",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.