| Variety Care, Inc. | |
|
201 Ne 50th St Ste 117 Oklahoma City OK 73105-1811 | |
| (405) 632-6688 | |
| Not Available |
| Full Name | Variety Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Ne 50th St Ste 117, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tim Reddout (VP & 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, Inc. 3000 N Grand Blvd Oklahoma City OK 73107-1818 Ph: (405) 632-6688 | Variety Care, Inc. 201 Ne 50th St Ste 117 Oklahoma City OK 73105-1811 Ph: (405) 632-6688 |
| NPI Number | 1902404965 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 1557260007 |
|---|---|
| Medicare Enrollment ID | O20201105000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902404965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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