Organization Active NPI

Peak Healthcare, Inc

  • Primary Care Clinic/Center
  • Price, UT
National Provider Identifier
1801113147
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
363AM0700X Issued in UT
Legal business name
PEAK HEALTHCARE, INC
Practice address
894 E 100 N
Suite 3
Price, UT 84501-2711
Phone
(435) 637-2324
Fax
(435) 637-2326
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Mr. Timothy Adam Callahan, P.A.-C
Title
Physician Assistant/Owner
Phone
(435) 637-2324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 363AM0700X UT Primary

Addresses

Primary practice location

894 E 100 N
Suite 3
Price, UT 84501-2711

Mailing address

894 E 100 N
Suite 3
Price, UT 84501-2711
Phone (435) 637-2324

Other identifiers 2

IdentifierTypeStateIssuer
P00228226OtherUTRAILROAD MEDICARE
005751001OtherUTMEDICARE ID - TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

894 E 100 N
Ste 3
Price, UT 84501
Phone (435) 637-0313

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1801113147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 E 100 N",
            "address_2": "SUITE 3",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012711",
            "telephone_number": "435-637-2324",
            "fax_number": "435-637-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 E 100 N",
            "address_2": "SUITE 3",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012711",
            "telephone_number": "435-637-2324",
            "fax_number": "435-637-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
        "authorized_official_telephone_number": "435-637-2324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A.-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "363AM0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00228226",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "005751001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.