MEDICARE: BRIGGSMEAD TELEHEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1386539450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGGSMEAD TELEHEALTH LLC

Provider Business Mailing Address
First Line	:	1093 E BUFFALO BILL LN
Second Line	:
City	:	PUEBLO WEST
State	:	CO
Zip	:	81007-2377
Country	:	US
Telephone Number	:	719-251-8869
Fax Number	:

Provider Business Practice Location Address
First Line	:	1093 E BUFFALO BILL LN
Second Line	:
City	:	PUEBLO WEST
State	:	CO
Zip	:	81007-2377
Country	:	US
Telephone Number	:	719-251-8869
Fax Number	:

Authorized Official
Title or Position	:	NP/OWNER
Name	:	MRS. MERILEE C BRIGGS-MEAD
Credential	:	NP
Telephone Number	:	719-251-8869

Provider Enumeration Date	:	06/10/2025
Last Update Date	:	06/11/2025

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