Provider Demographics
NPI:1528378858
Name:ATRINEA HEALTH LLC
Entity Type:Organization
Organization Name:ATRINEA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-338-3851
Mailing Address - Street 1:1982 W MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-6916
Mailing Address - Country:US
Mailing Address - Phone:480-295-4880
Mailing Address - Fax:480-295-4881
Practice Address - Street 1:7601 JEFFERSON ST NE
Practice Address - Street 2:SUITE 340
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4494
Practice Address - Country:US
Practice Address - Phone:505-338-3851
Practice Address - Fax:505-338-3859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ570741Medicaid
AZZ143391Medicare PIN