| Atlas Integrated Health Llc | |
|
4740 N Butler Ave Farmington NM 87401-0826 | |
| (505) 325-2604 | |
| (505) 327-1976 |
| Full Name | Atlas Integrated Health Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4740 N Butler Ave, Farmington, New Mexico |
| Authorized Official Name and Position | Erica Sussex-grant (REGISTERED AGENT/MANAGER) |
| Authorized Official Contact | 5053252604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Integrated Health Llc 4740 N Butler Ave Farmington NM 87401-0826 Ph: (505) 325-2604 | Atlas Integrated Health Llc 4740 N Butler Ave Farmington NM 87401-0826 Ph: (505) 325-2604 |
| NPI Number | 1871173005 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871173005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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