Healthcare Provider Details

I. General information

NPI: 1528378858
Provider Name (Legal Business Name): ATRINEA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 JEFFERSON ST NE SUITE 340
ALBUQUERQUE NM
87109-4494
US

IV. Provider business mailing address

1982 W MAIN ST SUITE 101
MESA AZ
85201-6916
US

V. Phone/Fax

Practice location:
  • Phone: 505-338-3851
  • Fax: 505-338-3859
Mailing address:
  • Phone: 480-295-4880
  • Fax: 480-295-4881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PHILIP D BRIGGS
Title or Position: OWNER
Credential: MD
Phone: 505-338-3851