TEAM CLINICS AH LLC
NPI 1790564136
Clinic/Center in Shawnee, OK

Active since September 25, 2023
42400 GARRETTS LAKE RD, SHAWNEE, OK 74804(405) 275-3473 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Team Clinics Ah Llc NPPES

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

TEAM CLINICS AH LLC (NPI 1790564136) is a healthcare organization registered as a clinic/center in Shawnee, Oklahoma and active in the NPI registry since September 2023. The organization lists Trevor Allen Nutt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790564136
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTEAM CLINICS AH LLC
Location Address42400 GARRETTS LAKE RDShawnee, OK 74804-9301
Mailing Address3112 Cooke WayOklahoma City, OK 73179-2401 · (405) 546-4130
Organization SubpartNo
Authorized OfficialTrevor Allen NuttCeo · (405) 540-4130
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1790564136 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).
42400 GARRETTS LAKE RD, Shawnee, OK 74804

Other Identifiers 1

Medicaid200920640OK

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 1790564136. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Team Clinics Ah LLC located?

Team Clinics Ah LLC is located at 42400 Garretts Lake Rd, Shawnee, OK 74804. The listed phone number is (405) 275-3473.

What is Team Clinics Ah 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 Team Clinics Ah LLC was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.