Variety Care Fort Cobb is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fort Cobb, Oklahoma. The current practice location for Variety Care Fort Cobb is 111 W Main St, Fort Cobb, Oklahoma. For appointments, you can reach them via phone at
(405) 632-6688. The mailing address for Variety Care Fort Cobb is 3000 N Grand Blvd, Oklahoma City, Oklahoma and phone number is (405) 632-6688.
Variety Care Fort Cobb is licensed to practice in Oklahoma (license number ). The clinic also participates in the medicare program and its
NPI number is 1275646143. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(405) 632-6688.
Primary Care Clinic Profile
| Full Name | Variety Care Fort Cobb |
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| Speciality | Clinic/Center |
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| Location | 111 W Main St, Fort Cobb, Oklahoma |
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| Authorized Official Name and Position | Tim Reddout (CFO) |
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| Authorized Official Contact | 4056326688 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Variety Care Fort Cobb
3000 N Grand Blvd
Oklahoma City
OK 73107-1818
Ph: (405) 632-6688 | Variety Care Fort Cobb
111 W Main St
Fort Cobb
OK 73038-5866
Ph: (405) 632-6688 |
NPI Details:
| NPI Number | 1275646143 |
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| Provider Enumeration Date | 08/16/2006 |
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| Last Update Date | 02/26/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1557260007 |
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| Medicare Enrollment ID | O20041221000840 |
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Medical Identifiers
Medical identifiers for Variety Care Fort Cobb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275646143 | NPI | - | NPPES |
| 100734110I | Medicaid | OK | |
| CIGNA DENTAL | Other | OK | 263715 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oklahoma) | Primary |
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