Organization
VARIETY CARE, INC.
Active
Parent organization
VARIETY CARE, INC
Other names
Variety Care Lafayette
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
500 SW 44TH ST, OKLAHOMA CITY, OK 73109-3540
(405) 632-6688
(405) 235-5208
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
Enumeration date
10/15/2009
Last updated
02/26/2020
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