Team Clinics Ah LLC
Clinic/Center, Primary Care in Clinton, OK. Organization (NPI-2).
NPI number1982257812
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1982257812
- Entity type
- Organization (NPI-2)
- Legal business name
- Team Clinics Ah LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2019
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1001 Orient AveClinton, OK 73601-2751
Phone 405-546-4130
Mailing address
3112 Cooke WayOklahoma City, OK 73179-2401
Phone 405-546-4130
Authorized official
Trevor Nutt
Ceo
4055464130
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All 6 Primary Care Clinic/Center providers in Clinton · All 440 providers in Clinton
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