Organization
PEAK HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ADAM CALLAHAN P.A.-C (PHYSICIAN ASSISTANT/OWNER)
(435) 637-2324
Entity
Organization
Contact information
Practice address
894 E 100 N, SUITE 3, PRICE, UT 84501-2711
(435) 637-2324
(435) 637-2326
Mailing address
894 E 100 N, SUITE 3, PRICE, UT 84501-2711
(435) 637-2324
(435) 637-2326
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
363AM0700X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005751001
MEDICARE ID - TYPE UNSPECIFIED
UT
01
—
P00228226
RAILROAD MEDICARE
UT
Enumeration date
04/27/2010
Last updated
04/27/2010
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