ATLAS INTEGRATED HEALTH LLC NPI 1871173005

NPI Information

NPI: 1871173005
Provider Name: ATLAS INTEGRATED HEALTH LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4740 N BUTLER AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 325-2604
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ATLAS INTEGRATED HEALTH LLC is a multi-specialty clinic center in Farmington, NM. ATLAS INTEGRATED HEALTH LLC NPI is 1871173005. The provider is registered as an organization entity type.

The provider's business location address is:

4740 N BUTLER AVE
FARMINGTON, NM
ZIP 87401-826
Phone: (505) 325-2604
Fax: (505) 327-1976

The provider's authorized official is Erica Sussex-grant .
The authorized official title is Registered Agent/manager and has the following contact phone number (505) 325-2604.

The enumeration date for this NPI number is 4/12/2021 and was last updated on 4/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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