1. Home
  2. Directory
  3. Oklahoma
  4. Broken Arrow
  5. Clinic Center
  6. NPI Profile

TEAM CLINICS AH LLC
NPI 1114559705
Clinic/Center - Primary Care in Broken Arrow, OK

Active since February 11, 2020
1600 W QUINCY ST # 100A, BROKEN ARROW, OK 74012(405) 546-4130 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2021, Feb 11, 2020 (2 updates tracked since 2020).

About Team Clinics Ah Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEAM CLINICS AH LLC (NPI 1114559705) is a healthcare organization registered as a primary care in Broken Arrow, Oklahoma and active in the NPI registry since February 2020. The organization lists Trevor Nutt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114559705
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTEAM CLINICS AH LLC
Location Address1600 W QUINCY ST # 100ABroken Arrow, OK 74012-5219
Mailing Address3112 Cooke WayOklahoma City, OK 73179-2401 · (405) 600-6869
Phone(405) 546-4130
Organization SubpartNo
Authorized OfficialTrevor NuttCeo · (405) 546-4130
Enumeration DateFebruary 11, 2020
Last NPPES UpdateJune 18, 20212 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1114559705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1600 W QUINCY ST # 100A, Broken Arrow, OK 74012
Open in Google Maps ↗

Other Identifiers 1

Medicaid200782030OK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Team Clinics Ah LLC's NPI number?

The NPI number for Team Clinics Ah LLC is 1114559705. It was assigned to this organization in the NPPES registry on February 11, 2020.

Where is Team Clinics Ah LLC located?

Team Clinics Ah LLC is located at 1600 W Quincy St # 100A, Broken Arrow, OK 74012. The listed phone number is (405) 546-4130.

What is Team Clinics Ah LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Team Clinics Ah LLC was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.