| Variety Care, Inc. | |
|
11220 N Rockwell Ave Oklahoma City OK 73162-2725 | |
| (405) 632-6688 | |
| Not Available |
| Full Name | Variety Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11220 N Rockwell Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Ashley Horn (COMPTROLLER) |
| 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. 11220 N Rockwell Ave Oklahoma City OK 73162-2725 Ph: (405) 632-6688 |
| NPI Number | 1235863879 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 1557260007 |
|---|---|
| Medicare Enrollment ID | O20221006003484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235863879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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