Organization
VARIETY CARE, INC.
Active
Parent organization
VARIETY CARE, INC
Other names
Variety Care Mid-Del
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
3851 TINKER DIAG ST, DEL CITY, OK 73115-2109
(405) 632-6688
(405) 677-8991
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
(844) 689-9671
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728770 E
—
OK
Enumeration date
03/05/2007
Last updated
02/26/2020
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