TEAM CLINICS AH LLC; NPI #1609476654

Contact Information

TEAM CLINICS AH LLC

372 N COBB
CANEY, OK 74533

Phone: 405-546-4130
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for TEAM CLINICS AH LLC

NPI Number 1609476654

LBN Legal business name TEAM CLINICS AH LLC

Authorized official TREVOR NUTT - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/29/2020

Last updated 06/22/2021 - About 5 years ago

Identifiers

Medicaid

200920640

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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