Team Clinics Ah Llc

LBN: Team Clinics Ah Llc
Team Clinics Ah Llc is an health care organization with primary practice located at 1600 W Quincy St # 100A , Broken Arrow OK 74012-5219. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Team Clinics Ah Llc can be contacted via phone (405) 546-4130, or through Nutt, Trevor via phone (405) 546-4130.

Contact Information

Primary practice address
1600 W Quincy St # 100A Broken Arrow OK 74012-5219
Phone: (405) 546-4130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nutt, Trevor
Phone: (405) 546-4130

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1114559705
LBN Legal business name Team Clinics Ah Llc
DBA Doing business as
Authorized official Nutt, Trevor
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2020
Last updated Jun 18th, 2021 - about 3 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 1114559705 NPPES
Oklahoma MEDICAID 200782030

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