| Name: | Peter Harrelson,MD,FAAFP,LLC |
| Jurisdiction: | Colorado |
| Legal type: | Domestic limited liability company |
| Status: | Delinquent |
| Date of registration: | 01 Jan 2011 (14 years ago) |
| Date dissolved: | 01 Jun 2016 |
| Entity Number: | 20101648599 |
| ZIP code: | 81426 |
| County: | San Miguel County |
| Place of Formation: | COLORADO |
| Principal Address: | 180 N.Porphyry Street Ophir CO 81426 US |
| Mailing Address: | PO Box 687 Ophir CO 81426 US |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4GGT5 | Active | Non-Manufacturer | 2006-07-13 | 2023-12-02 | No data | No data | |||||||||||||||
|
|||||||||||||||||||||
| POC | PETER HARRELSON,MD, HARRELSON |
| Phone | +1 970-728-5869 |
| Fax | +1 970-728-5869 |
| Address | 180 POUR FREE, OPHIR, SAN MIGUEL, CO, 81426 0000, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| Peter Craig Harrelson | Agent | 180 N. Porphyry Street Ophir CO 81426 US |
| Transaction ID | Type | Date | Effective date | Name | Comment |
|---|---|---|---|---|---|
| 20151228680 | File Report | 2015-03-31 | 2015-03-31 | No data | No data |
| 20141219947 | File Report | 2014-04-02 | 2014-04-02 | No data | No data |
| 20121711840 | File Report | 2012-12-27 | 2012-12-27 | No data | No data |
| 20121064852 | File Report | 2012-01-29 | 2012-01-29 | No data | No data |
| 20101648599 | Form a Limited Liability Company (LLC) | 2010-11-30 | 2011-01-01 | Peter Harrelson,MD,FAAFP,LLC | No data |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | HHSI245201200032P | 2012-07-11 | 2012-09-30 | 2012-10-31 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Title | 12 NAV NNMC CLN EM PSC (PHARRELSON 1STQ) |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q201: MEDICAL- GENERAL HEALTH CARE |
Recipient Details
| Recipient | PETER HARRELSON,MD,FAAFP,LLC |
| UEI | NNP3CFTCDNL4 |
| Legacy DUNS | 879124811 |
| Recipient Address | 180 POUR FREE, OPHIR, 814260687, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSI245201100410P_7527_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | 11 NAV NNMC CLN EM PSC (PHARRELSON-DEC JAN'11) |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q201: GENERAL HEALTH CARE SERVICES |
Recipient Details
| Recipient | PETER HARRELSON,MD,FAAFP,LLC |
| UEI | NNP3CFTCDNL4 |
| Legacy DUNS | 879124811 |
| Recipient Address | 180 POUR FREE, OPHIR, 814260687, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSI245201100150P_7527_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | 11 NAV NNMC CLN EM PSC (PHARRELSON) |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q201: GENERAL HEALTH CARE SERVICES |
Recipient Details
| Recipient | PETER HARRELSON,MD,FAAFP,LLC |
| UEI | NNP3CFTCDNL4 |
| Legacy DUNS | 879124811 |
| Recipient Address | 180 POUR FREE, OPHIR, 814260001, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSI245201000182P_7527_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | 10 NAV NNMC CLN EM PSC (PHARRELSON 10 01 09-09 30 10) |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q201: GENERAL HEALTH CARE SERVICES |
Recipient Details
| Recipient | PETER HARRELSON,MD,FAAFP,LLC |
| UEI | NNP3CFTCDNL4 |
| Legacy DUNS | 879124811 |
| Recipient Address | 180 POUR FREE, OPHIR, 814260000, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSI245200910782P_7527_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | 09 NAV NNMC CLN SERVICES ER HARRELSON PCN 7648-02 |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q201: GENERAL HEALTH CARE SERVICES |
Recipient Details
| Recipient | PETER HARRELSON,MD,FAAFP,LLC |
| UEI | NNP3CFTCDNL4 |
| Legacy DUNS | 879124811 |
| Recipient Address | 180 POUR FREE, OPHIR, 814260000, UNITED STATES |
| Unique Award Key | CONT_AWD_HHSI245200910256P_7527_-NONE-_-NONE- |
| Awarding Agency | Department of Health and Human Services |
| Link | View Page |
Description
| Title | PSC - ER PHYSICIAN SERVICE |
| NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Product and Service Codes | Q201: GENERAL HEALTH CARE SERVICES |
Recipient Details
| Recipient | PETER HARRELSON,MD,FAAFP,LLC |
| UEI | NNP3CFTCDNL4 |
| Legacy DUNS | 879124811 |
| Recipient Address | 180 POUR FREE, OPHIR, 814260000, UNITED STATES |
Date of last update: 10 Mar 2025
Sources: Colorado's Secretary of State
