| Variety Care, Inc. | |
|
3851 Tinker Diag St Del City OK 73115-2109 | |
| (405) 632-6688 | |
| (405) 677-8991 |
| Full Name | Variety Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3851 Tinker Diag St, Del City, Oklahoma |
| Authorized Official Name and Position | Tim Reddout (CFO) |
| Authorized Official Contact | 4056326688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Variety Care, Inc. 3000 N Grand Blvd Oklahoma City OK 73107-1818 Ph: (405) 632-6688 | Variety Care, Inc. 3851 Tinker Diag St Del City OK 73115-2109 Ph: (405) 632-6688 |
| NPI Number | 1568591477 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 1557260007 |
|---|---|
| Medicare Enrollment ID | O20091111000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568591477 | NPI | - | NPPES |
| 100728770 E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oklahoma) | Primary |
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