Organization
VARIETY CARE, INC
Active
Parent organization
VARIETY CARE, INC
Other names
Variety Care 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
5320 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2098
(405) 632-6688
(405) 946-4445
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
—
—
Other
Enumeration date
08/17/2010
Last updated
02/26/2020
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