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TRIAD COMPLETE HEALTHCARE Z15 LLC
NPI 1699569624
Family Medicine in Poteau, OK

Active since April 07, 2025CLIA 37D2341520 · Waiver
2110 N BROADWAY ST, POTEAU, OK 74953(580) 749-7846 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Apr 7, 2025 (2 updates tracked since 2025).

About Triad Complete Healthcare Z15 Llc NPPES

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

TRIAD COMPLETE HEALTHCARE Z15 LLC (NPI 1699569624) is a healthcare organization registered as a family medicine in Poteau, Oklahoma and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Matthew Bintz, President, as its authorized official.

NPPES Registry Identity

NPI1699569624
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIAD COMPLETE HEALTHCARE Z15 LLC
Location Address2110 N BROADWAY STPoteau, OK 74953-2501
Mailing Address2703 N 14th StPonca City, OK 74601-1738 · (580) 749-7846
Phone(580) 749-7846
Organization SubpartNo
Authorized OfficialMatthew BintzPresident · (970) 270-7929
Enumeration DateApril 7, 2025
Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1699569624 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.
2110 N BROADWAY ST, Poteau, OK 74953
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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

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 Waiver 37D2341520

Triad Complete Healthcare Z15 LLC · Poteau, OK
Active · expires Apr 2, 2028
CLIA Number37D2341520
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorJamin Graham
Laboratory Phone(918) 205-1994
Laboratory LocationTriad Complete Healthcare Z15 LLC2110 N Broadway St, Poteau, OK 74953
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

JEANNE R GUINN APRN
Nurse Practitioner (Family)
2110 N BROADWAY ST
POTEAU, OK 74953
Le Flore County (918) 205-1994
EMILY L HARRAH APRN-FNP
Nurse Practitioner (Family)
2110 N BROADWAY ST
POTEAU, OK 74953
Le Flore County (918) 205-1994
DAVID L ROBERTS O.D.
Optometrist
2110 N BROADWAY ST, POTEAU
POTEAU, OK 74953
Le Flore County (918) 647-3284
DR. ARTHUR WAYNE PEARSON III M.D.
Family Medicine
2110 N BROADWAY ST
POTEAU, OK 74953
Le Flore County (918) 647-7416
DAVID L ROBERTS O D P C
Optometrist
2110 N BROADWAY ST
POTEAU, OK 74953
Le Flore County (918) 647-3284

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 Complete Healthcare Z15 LLC's NPI number?

The NPI number for Triad Complete Healthcare Z15 LLC is 1699569624. It was assigned to this organization in the NPPES registry on April 7, 2025.

Where is Triad Complete Healthcare Z15 LLC located?

Triad Complete Healthcare Z15 LLC is located at 2110 N Broadway St, Poteau, OK 74953. The listed phone number is (580) 749-7846.

What is Triad Complete Healthcare Z15 LLC's specialty?

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

Does Triad Complete Healthcare Z15 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2341520) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Triad Complete Healthcare Z15 LLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.