New Tradition Clinic Llc

LBN: New Tradition Clinic Llc
New Tradition Clinic Llc is an health care organization with primary practice located at 2021 S Elm Pl , Broken Arrow OK 74012-7031. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. New Tradition Clinic Llc can be contacted via phone (918) 806-6461, or through Lee, Mariah Helen via phone (918) 806-6461.

Contact Information

Primary practice address
2021 S Elm Pl Broken Arrow OK 74012-7031
Phone: (918) 806-6461
Fax: (918) 806-6710
Website:
Map and Directions
Authorized official contact:
Name: Lee, Mariah Helen
Phone: (918) 806-6461

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1669405437
LBN Legal business name New Tradition Clinic Llc
DBA Doing business as
Authorized official Lee, Mariah Helen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669405437 NPPES
Oklahoma MEDICAID 200070350A

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