Active NPI
Paul K Reed Recovery Center
- Substance Abuse Rehabilitation Facility
- Alamosa, CO
National Provider Identifier
1760220016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PAUL K REED RECOVERY CENTER
- Practice address
- 1317 17TH St
Alamosa, CO 81101-3555 - Phone
- (720) 955-1880
- NPI assigned
- Jul 19, 2024
- Last updated
- Jul 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Luke Riley
- Title
- Ceo
- Phone
- (720) 955-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | NU | Primary |
Addresses
Primary practice location
1317 17TH St
Alamosa, CO 81101-3555
Mailing address
PO Box 5334
Greenwood VLG, CO 80155-5334
Phone (720) 955-1880
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2308690 | Paul K Reed Recovery Center | Certificate of waiver | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Canon City, CO
- NPI 1871576694
-
- General Practice Physician
- Goshen, IN
- NPI 1265640304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1760220016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5334",
"city": "GREENWOOD VLG",
"state": "CO",
"postal_code": "801555334",
"telephone_number": "720-955-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 17TH ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811013555",
"telephone_number": "720-955-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL K REED RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "LUKE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-955-1880"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
- Pages of Hope Counseling and Wellness
- Scott Spencer Parker, DMD
- Partner for Health, LLC
- Patricia A Paterson, MPT
- Kristy Iway Patigdas
- Tylen Joe Pavlovsky, PA-C
- Katie Sue Payne, MD
- Pediatric Psychology Services of Colorado (Exploration Kids Therapy)
- Therese Margaret Peloquin, LPC
- Ann-Marie Peterson, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.