Organization
VARIETY CARE, INC
Active
Parent organization
VARIETY CARE, INC
Other names
Variety Care Big Pasture
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
201 W 1ST ST, GRANDFIELD, OK 73546-9236
(405) 632-6688
(580) 479-3245
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
Enumeration date
05/14/2015
Last updated
02/26/2020
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