New Tradition Clinic Llc in Broken Arrow - Clinic/center
New Tradition Clinic Llc - NPI 1669405437
New Tradition Clinic Llc is a Clinic/center in Broken Arrow, Oklahoma. New Tradition Clinic Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for New Tradition Clinic Llc is 1669405437. The last update date is 2010-11-16.
New Tradition Clinic Llc's current location address is 2021 S Elm Pl, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188066461 and fax number 9188066710. The mailing address for New Tradition Clinic Llc is 2021 S Elm Pl, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Tradition Clinic Llc |
|---|---|
| Address | 2021 S Elm Pl, Broken Arrow, Oklahoma |
| Phone Number | 9188066461 |
| Fax Number | 9188066710 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lee Helen Mariah |
| Telephone Number | 9188066461 |
NPI Number Detail
| NPI Number | 1669405437 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2010-11-16 |
Provider Mailing Address Detail
| Address | 2021 S Elm Pl |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740127031 |
| Phone Number | 9188066461 |
| Fax Number | 9188066710 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200070350A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to New Tradition Clinic Llc by the Centers for Medicare & Medicaid Services?
The New Tradition Clinic Llc has been assigned the NPI (National Provider Identifier) 1669405437 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where New Tradition Clinic Llc is physically located?
The New Tradition Clinic Llc is situated at the following address: 2021 S Elm Pl, Broken Arrow, OK 740127031.
What is New Tradition Clinic Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The New Tradition Clinic Llc's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
When did New Tradition Clinic Llc receive its 1669405437 assignment?
The New Tradition Clinic Llc was assigned its 1669405437 on 2006-07-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding New Tradition Clinic Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to New Tradition Clinic Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-16.
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