| Variety Care Norman Pediatric | |
|
1237 Alameda St Norman OK 73071-3006 | |
| (405) 632-6688 | |
| (405) 329-5711 |
| Full Name | Variety Care Norman Pediatric |
|---|---|
| Speciality | Clinic/Center |
| Location | 1237 Alameda St, Norman, 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 Norman Pediatric 3000 N Grand Blvd Oklahoma City OK 73107-1818 Ph: (405) 632-6688 | Variety Care Norman Pediatric 1237 Alameda St Norman OK 73071-3006 Ph: (405) 632-6688 |
| NPI Number | 1144666769 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 1557260007 |
|---|---|
| Medicare Enrollment ID | O20141124001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144666769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Oklahoma) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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