| Variety Care Big Pasture | |
|
201 W 1st St Grandfield OK 73546-9236 | |
| (405) 632-6688 | |
| (580) 479-3245 |
| Full Name | Variety Care Big Pasture |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 W 1st St, Grandfield, Oklahoma |
| Authorized Official Name and Position | Tim Reddout (CFO) |
| Authorized Official Contact | 4056326688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Variety Care Big Pasture 3000 N Grand Blvd Oklahoma City OK 73107-1818 Ph: (405) 632-6688 | Variety Care Big Pasture 201 W 1st St Grandfield OK 73546-9236 Ph: (405) 632-6688 |
| NPI Number | 1336527928 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 1557260007 |
|---|---|
| Medicare Enrollment ID | O20150819008195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336527928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bridging Family Heathcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 S Bridge Blvd, Grandfield, OK 73546 Phone: 580-560-5715 Fax: 580-560-5735 |