Organization
VARIETY CARE, INC
Active
Parent organization
VARIETY CARE INC
Other names
Variety Care 10th Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
VARIETY CARE INC
Authorized official
TIM REDDOUT (CFO)
(405) 632-6688
Entity
Organization
Contact information
Practice address
4023 NW 10TH ST, OKLAHOMA CITY, OK 73107-6038
(405) 632-6688
(405) 604-0708
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
(405) 604-0708
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734110N
—
OK
01
—
371855
MEDICARE PTAN
OK
Enumeration date
05/19/2009
Last updated
02/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us