Provider Demographics
NPI:1033635149
Name:PEAK PAYER SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PEAK PAYER SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR RISK ADJUSTMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RULPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, CRC
Authorized Official - Phone:888-449-3595
Mailing Address - Street 1:11332 RACE TRACK ROAD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626
Mailing Address - Country:US
Mailing Address - Phone:888-449-3595
Mailing Address - Fax:
Practice Address - Street 1:12332 RACE TRACK ROAD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626
Practice Address - Country:US
Practice Address - Phone:813-756-4383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEAK PLAN SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty