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Organization
TRIAD HEALTH SYSTEMS LLC
Active
Organization
TRIAD HEALTH SYSTEMS LLC
Active
Other names
TRIAD COMPLETE HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BEVERLEY (BILLING MANAGER)
(580) 765-9451
Entity
Organization
Contact information
Practice address
2703 N 14TH ST, PONCA CITY, OK 74601
(580) 765-9451
Mailing address
2703 N 14TH ST, PONCA CITY, OK 74601
(580) 765-9451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
06/08/2020
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