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VARIETY CARE INC. NPI 1770826661


NPI Information

NPI: 1770826661
Provider Name: VARIETY CARE, INC.

Doing Business As: VARIETY CARE AT PETE WHITE HEALTH AND WELLNESS CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4021 S WALKER AVE STE 201
OKLAHOMA CITY, OK
ZIP 73109
Phone: (405) 632-6688
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VARIETY CARE, INC. is a federally qualified health center (fqhc) clinic center in Oklahoma City, OK. VARIETY CARE, INC. NPI is 1770826661. The provider is registered as an organization entity type.
The provider Is Doing Business As Variety Care At Pete White Health And Wellness Center.

The provider's business location address is:

4021 S WALKER AVE STE 201
OKLAHOMA CITY, OK
ZIP 73109-972
Phone: (405) 632-6688
Fax: (405) 595-3247

The provider's authorized official is Tim Reddout .
The authorized official title is Cfo and has the following contact phone number (405) 632-6688.

The enumeration date for this NPI number is 3/29/2013 and was last updated on 2/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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