Organization
VARIETY CARE, INC.
Active
Organization
VARIETY CARE, INC.
Active
Parent organization
VARIETY CARE INC
Other names
Variety Care, Straka
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
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(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
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734110B
—
OK
Enumeration date
08/13/2006
Last updated
02/26/2020
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