| Variety Care Crooked Oak | |
|
1450 S Eastern Ave Bldg A Oklahoma City OK 73129-6035 | |
| (405) 632-6688 | |
| Not Available |
| Full Name | Variety Care Crooked Oak |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1450 S Eastern Ave Bldg A, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Ashley Horn (COMPTROLLER) |
| Authorized Official Contact | 4056326688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Variety Care Crooked Oak 3000 N Grand Blvd Oklahoma City OK 73107-1818 Ph: (405) 632-6688 | Variety Care Crooked Oak 1450 S Eastern Ave Bldg A Oklahoma City OK 73129-6035 Ph: (405) 632-6688 |
| NPI Number | 1104696657 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104696657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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