Organization
VARIETY CARE, INC.
Active
Parent organization
VARIETY CARE, INC.
Other names
Variety Care Baptist Portland
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
5401 N PORTLAND AVE STE 500, OKLAHOMA CITY, OK 73112-2126
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
03/31/2021
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