| Variety Care, Inc. | |
|
1000 S Broadway Hobart OK 73651-1837 | |
| (405) 632-6688 | |
| Not Available |
| Full Name | Variety Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 S Broadway, Hobart, Oklahoma |
| Authorized Official Name and Position | Ashley Horn (COMPTROLLERE) |
| 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, Inc. 3000 N Grand Blvd Oklahoma City OK 73107-1818 Ph: (405) 632-6688 | Variety Care, Inc. 1000 S Broadway Hobart OK 73651-1837 Ph: (405) 632-6688 |
| NPI Number | 1548045420 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Medicare PECOS PAC ID | 1557260007 |
|---|---|
| Medicare Enrollment ID | O20240502002807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548045420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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