VARIETY CARE, INC. (NPI# 1659995116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659995116 |
| Entity Type | Organization |
| Organization Name | VARIETY CARE, INC. |
| Practice Address |
508 W Vandament Ave Ste 210 Yukon OK 73099-4666 |
| Mailing Address |
3000 N Grand Blvd Oklahoma City OK 73107-1818 |
| Practice Telephone | 4056326688 |
| Practice Fax Number | 8446899671 |
| Mailing Telephone | 4056326688 |
| Mailing Fax Number | 8446899671 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | MR. TIM REDDOUT (VP & CFO) |
| Authorized Official Telephone | 4056326688 |
| Is Organization Subpart | Y |
| Parent Organization Name | VARIETY CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Variety Care Yukon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568591477 | Variety Care, Inc. | Clinic/Center | 3851 Tinker Diag St, Del City, OK 73115-2109 | 2007-03-05 |
| 1447895529 | Variety Care, Inc. | Clinic/Center | 718 W Petree Rd, Anadarko, OK 73005-6024 | 2019-11-12 |
| 1972056372 | Variety Care, Inc. | Clinic/Center | 4000 W Reno Ave, Oklahoma City, OK 73107-6632 | 2016-08-02 |
| 1083086706 | Variety Care, Inc. | Clinic/Center | 2208 W Hefner Rd, Oklahoma City, OK 73120-7618 | 2015-10-21 |
| 1144666769 | Variety Care, Inc. | Clinic/Center | 1237 Alameda St, Norman, OK 73071-3006 | 2013-05-22 |
| 1770826661 | Variety Care, Inc. | Clinic/Center | 4021 S Walker Ave Ste 201, Oklahoma City, OK 73109-6972 | 2013-03-29 |
| 1467789610 | Variety Care, Inc. | Clinic/Center | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2009-11-09 |
| 1982939526 | Variety Care, Inc. | Clinic/Center | 500 Sw 44th St, Oklahoma City, OK 73109-3540 | 2009-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | VARIETY CARE, INC. | 1025 Straka Terrace, Oklahoma City, OK 73139 |
| Street Address |
508 W VANDAMENT AVE STE 210 |
| City | YUKON |
| State | OK |
| Zip Code | 73099-4666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720102833 | Mouziane Deeb | Counselor | 508 W Vandament Ave Ste 210, Yukon, OK 73099-4666 | 2007-03-16 |
| 1376070219 | Alexandra Kay Martin | Registered Nurse | 508 W Vandament Ave Ste 210, Yukon, OK 73099-4666 | 2017-05-22 |
| 1801277876 | Regina Tomichen | Pediatrics | 508 W Vandament Ave Ste 210, Yukon, OK 73099-4666 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404965 | Variety Care, Inc. | Clinic/Center | 201 Ne 50th St Ste 117, Oklahoma City, OK 73105-1811 | 2020-10-13 |
| 1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1013569961 | Community Health Connection, Inc. | Clinic/Center | 13702 E 46th Pl, Tulsa, OK 74134-5919 | 2019-07-11 |
| 1184286726 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 302 W Smith Street, Stratford, OK 74872-4648 | 2019-07-03 |
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1265902589 | Community Health Center of Northeast Oklahoma | Clinic/Center | 244 S Scraper Suite D, Vinita, OK 74301-3716 | 2018-11-29 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1568976991 | Arkansas Verdigris Valley Health Centers,inc. | Clinic/Center | 201 North 32nd Street, Muskogee, OK 74401-2104 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.