Organization · Type 2 NPI

Variety Care, Inc.

Federally Qualified Health Center (FQHC) · New Cordell, OK

NPI number 1821810094 Active

Practice location

421 N Glenn English
New Cordell, OK 73632

Call (405) 632-6688 Map

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: 1821810094
Entity type: Organization (Type 2)
Issued: Oct 29, 2024
Last updated: Oct 29, 2024
Status: Active
Subpart: Yes of Variety Care, Inc.

Other names

Variety Care New Cordell · doing business as

Authorized official

Nadine M Davidson
Director of Revenue Cycle Managemen
(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 1821810094

Variety Care, Inc.'s National Provider Identifier is 1821810094, issued on Oct 29, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in New Cordell, OK. The record was last updated on Oct 29, 2024.