NEW TRADITION CLINIC LLC
NPI 1669405437
Clinic/Center in Broken Arrow, OK

Q: What is New Tradition Clinic LLC's NPI number?

The NPI number for New Tradition Clinic LLC is 1669405437. It was assigned to this organization in the NPPES registry on July 7, 2006.

Q: What is New Tradition Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 07, 2006

2021 S ELM PL, BROKEN ARROW, OK 74012(918) 806-6461(918) 806-6710 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About New Tradition Clinic Llc NPPES

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

NEW TRADITION CLINIC LLC (NPI 1669405437) is a healthcare organization registered as a clinic/center in Broken Arrow, Oklahoma and active in the NPI registry since July 2006. The organization lists Mariah Helen Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1669405437

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameNEW TRADITION CLINIC LLC

Location Address2021 S ELM PLBroken Arrow, OK 74012-7031

Mailing Address2021 S Elm PlBroken Arrow, OK 74012-7031 · (918) 806-6461 · Fax (918) 806-6710

Phone(918) 806-6461

Fax(918) 806-6710

Organization SubpartNo

Authorized OfficialMariah Helen LeeOwner · (918) 806-6461

Enumeration DateJuly 7, 2006

Last NPPES UpdateNovember 16, 2010

✔ NPI 1669405437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2021 S ELM PL, Broken Arrow, OK 74012

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Other Identifiers 2

Medicaid200070350AOK

Medicare ID-Type Unspecified400522545OK · Medicare Number

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 New Tradition Clinic LLC's NPI number?

The NPI number for New Tradition Clinic LLC is 1669405437. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is New Tradition Clinic LLC located?

New Tradition Clinic LLC is located at 2021 S Elm Pl, Broken Arrow, OK 74012. The listed phone number is (918) 806-6461.

What is New Tradition Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for New Tradition Clinic LLC was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.