Provider Demographics
NPI:1386539450
Name:BRIGGSMEAD TELEHEALTH LLC
Entity type:Organization
Organization Name:BRIGGSMEAD TELEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERILEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRIGGS-MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:719-251-8869
Mailing Address - Street 1:1093 E BUFFALO BILL LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-2377
Mailing Address - Country:US
Mailing Address - Phone:719-251-8869
Mailing Address - Fax:
Practice Address - Street 1:1093 E BUFFALO BILL LN
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-2377
Practice Address - Country:US
Practice Address - Phone:719-251-8869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization