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Contact Information

TEAM CLINICS AH LLC
914 OAK AVE
WOODWARD, OK73801
 Phone: 405-546-4130
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for TEAM CLINICS AH LLC

NPI # 1497370662
LBN Legal business name TEAM CLINICS AH LLC
Authorized official TREVOR NUTT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2020
Last updated 06/22/2021 - About 5 years ago
Identifiers
OK Medicaid 200782030
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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