Atlas Integrated Health LLC

Organization Active NPI Multi-Specialty Clinic/Center · Farmington, NM

NPI 1871173005 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1871173005
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
ATLAS INTEGRATED HEALTH LLC
Practice address
4740 N Butler Ave
Farmington, NM 87401-0826
Phone
(505) 325-2604
Fax
(505) 327-1976
NPI assigned
Apr 12, 2021
Organization subpart
No

Authorized official

Name
Dr. Erica Sussex-Grant, DC
Title
Registered Agent/Manager
Phone
(505) 325-2604

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

4740 N Butler Ave
Farmington, NM 87401-0826

Mailing address

4740 N Butler Ave
Farmington, NM 87401-0826
Phone (505) 325-2604

Other providers in Farmington, NM

All providers in Farmington, NM · Multi-Specialty Clinic/Center in New Mexico

Sources for this page

Verify at the official NPI Registry.