MEDICARE: TRIAD COMPLETE HEALTHCARE Z16 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363LF0000X	Family Nurse Practitioner
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1144014176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIAD COMPLETE HEALTHCARE Z16 LLC

Provider Business Mailing Address
First Line	:	2703 N 14TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-1738
Country	:	US
Telephone Number	:	580-749-7846
Fax Number	:

Provider Business Practice Location Address
First Line	:	2703 N 14TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-1738
Country	:	US
Telephone Number	:	580-749-7846
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MATTHEW BINTZ
Credential	:
Telephone Number	:	970-270-7929

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

Similar Medicare Providers

1841255379 — BINTZ PHARMACY, INC.
Practice Location Address:

2701 N 14TH ST
PONCA CITY, OK
74601-1738

Practice Phone: 580-765-3055
Practice Fax: 580-765-3410

1497106728 — BRANDY WEBB
Practice Location Address:

2701 N 14TH ST
PONCA CITY, OK
74601-1738

Practice Phone: 580-765-3055
Practice Fax: 580-765-3410

1275072977 — BINTZ PHARMACY, INC.
Practice Location Address:

2701 N 14TH ST
PONCA CITY, OK
74601-1738

Practice Phone: 580-765-3055
Practice Fax: 580-765-3410

1992277297 — TAYLOR LEWIS APRN-CNP
Practice Location Address:

2703 N 14TH ST
PONCA CITY, OK
74601-1738

Practice Phone: 580-765-9451
Practice Fax:

1053950063 — DR. ALEXANDER WILLIAM LABOSSIERE PHARM.D.
Practice Location Address:

2701 N 14TH ST
PONCA CITY, OK
74601-1738

Practice Phone: 580-765-3055
Practice Fax:

1609687771 — TRIAD COMPLETE CARE, LLC
Practice Location Address:

2703 N 14TH ST
PONCA CITY, OK
74601-1738

Practice Phone: 580-749-7846
Practice Fax:

Directions to “TRIAD COMPLETE HEALTHCARE Z16 LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.