Organization · Type 2 NPI

Variety Care, Inc

Federally Qualified Health Center (FQHC) · Fort Cobb, OK

NPI number 1275646143 Active

Practice location

111 W Main St
Fort Cobb, OK 73038-5866

Call (405) 632-6688 Map

Fax (405) 643-9296

Mailing address

3000 N Grand Blvd
Oklahoma City, OK 73107-1818

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1275646143
Entity type: Organization (Type 2)
Issued: Aug 16, 2006
Last updated: Feb 26, 2020
Status: Active
Subpart: Yes of Variety Care, Inc

Other names

<unavail>
Variety Care Fort Cobb · doing business as
Variety Care Fort Cobb · doing business as

Authorized official

Tim Reddout
CFO
(405) 632-6688

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275646143

Variety Care, Inc's National Provider Identifier is 1275646143, issued on Aug 16, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Fort Cobb, OK. The record was last updated on Feb 26, 2020.