Team Clinics Ah Llc | |
12 N 7th St Stilwell OK 74960-2833 | |
(405) 546-4130 | |
Not Available |
Full Name | Team Clinics Ah Llc |
---|---|
Speciality | Clinic/center |
Location | 12 N 7th St, Stilwell, Oklahoma |
Authorized Official Name and Position | Trevor Allen Nutt (CEO) |
Authorized Official Contact | 4056016767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Team Clinics Ah Llc 3112 Cooke Way Oklahoma City OK 73179-2401 Ph: () - | Team Clinics Ah Llc 12 N 7th St Stilwell OK 74960-2833 Ph: (405) 546-4130 |
NPI Number | 1245014406 |
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Provider Enumeration Date | 08/21/2023 |
Last Update Date | 08/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245014406 | NPI | - | NPPES |
200920640 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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