TEAM CLINICS AH LLC
NPI 1871110775
Clinic/Center - Primary Care in Broken Arrow, OK

Active since June 26, 2020
3500 E KENOSHA ST, BROKEN ARROW, OK 74014(405) 546-4130 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Jun 26, 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 1871110775) is a healthcare organization registered as a primary care in Broken Arrow, Oklahoma and active in the NPI registry since June 2020. The organization lists Trevor Nutt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871110775
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTEAM CLINICS AH LLC
Location Address3500 E KENOSHA STBroken Arrow, OK 74014-6758
Mailing Address3112 Cooke WayOklahoma City, OK 73179-2401 · (405) 546-4130
Organization SubpartNo
Authorized OfficialTrevor NuttCeo · (405) 546-4130
Enumeration DateJune 26, 2020
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1871110775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3500 E KENOSHA ST, Broken Arrow, OK 74014

Other Identifiers 1

Medicaid200782030OK

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
3500 E KENOSHA ST
BROKEN ARROW, OK 74014

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 1871110775. It was assigned to this organization in the NPPES registry on June 26, 2020.

Where is Team Clinics Ah LLC located?

Team Clinics Ah LLC is located at 3500 E Kenosha St, Broken Arrow, OK 74014. 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 22, 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.