1. Home
  2. Directory
  3. Oklahoma
  4. Ponca City
  5. Family Medicine
  6. NPI Profile

TRIAD COMPLETE HEALTHCARE
NPI 1245867258
Family Medicine in Ponca City, OK

Active since March 27, 2020CLIA 37D2334680 · Certificate of Compliance
2703 N 14TH ST, PONCA CITY, OK 74601(580) 765-9451 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2020, Mar 27, 2020 (2 updates tracked since 2020).

About Triad Complete Healthcare NPPES

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

TRIAD COMPLETE HEALTHCARE (NPI 1245867258) is a healthcare organization registered as a family medicine in Ponca City, Oklahoma and active in the NPI registry since March 2020. The organization holds a CLIA Certificate of Compliance certificate valid through November 25, 2027 and lists Amy Beverley, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1245867258
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIAD HEALTH SYSTEMS LLC
Location Address2703 N 14TH STPonca City, OK 74601
Mailing Address2703 N 14th StPonca City, OK 74601 · (580) 765-9451
Phone(580) 765-9451
Organization SubpartNo
Authorized OfficialAmy BeverleyBilling Manager · (580) 765-9451
Enumeration DateMarch 27, 2020
Last NPPES UpdateJune 8, 20202 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
✔ NPI 1245867258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2703 N 14TH ST, Ponca City, OK 74601
Open in Google Maps ↗

Other Names 1

Doing Business AsTriad Complete Healthcare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 37D2334680

Triad Complete Healthcare · Ponca City, OK
Active · expires Nov 25, 2027
CLIA Number37D2334680
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2025
Certificate Expiration DateNovember 25, 2027
Laboratory DirectorDavid Eagerton
Laboratory Phone(580) 765-9451
Laboratory LocationTriad Complete Healthcare2703 N 14th St, Ponca City, OK 74601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRIAD COMPLETE HEALTHCARE Z16 LLC
Family Medicine
2703 N 14TH ST
PONCA CITY, OK 74601
Kay County (580) 749-7846
TRIAD COMPLETE CARE, LLC
Family Medicine
2703 N 14TH ST
PONCA CITY, OK 74601
Kay County (580) 749-7846
TAYLOR LEWIS APRN-CNP
Nurse Practitioner (Family)
2703 N 14TH ST
PONCA CITY, OK 74601
Kay County (580) 765-9451

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 Triad Health Systems LLC's NPI number?

The NPI number for Triad Health Systems LLC is 1245867258. It was assigned to this organization in the NPPES registry on March 27, 2020. The provider is doing business as Triad Complete Healthcare.

Where is Triad Health Systems LLC located?

Triad Health Systems LLC is located at 2703 N 14th St, Ponca City, OK 74601. The listed phone number is (580) 765-9451.

What is Triad Health Systems LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Triad Health Systems LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D2334680) is associated with this NPI, valid through November 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Triad Health Systems LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Triad Health Systems LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Triad Health Systems LLC was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.