VARIETY CARE, INC. (NPI# 1770826661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770826661 |
| Entity Type | Organization |
| Organization Name | VARIETY CARE, INC. |
| Other Organization Name | VARIETY CARE AT PETE WHITE HEALTH AND WELLNESS CENTER |
| Practice Address |
4021 S Walker Ave Ste 201 Oklahoma City OK 73109-6972 |
| Mailing Address |
3000 N Grand Blvd Oklahoma City OK 73107-1818 |
| Practice Telephone | 4056326688 |
| Practice Fax Number | 4055953247 |
| Mailing Telephone | 4056326688 |
| Mailing Fax Number | 8446899671 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | TIM REDDOUT (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 at Pete White Health and Wellness Center | Doing Business As Name - Organization |
| Variety Care Capitol Hill | 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 |
| 1659995116 | Variety Care, Inc. | Clinic/Center | 508 W Vandament Ave Ste 210, Yukon, OK 73099-4666 | 2020-06-01 |
| 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 |
| 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 |
4021 S WALKER AVE STE 201 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-6972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710143490 | Bethany Marie Deboer | Family Medicine | 4021 S Walker Ave Ste 201, Oklahoma City, OK 73109 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
| 1306352547 | Variety Care, Inc. | Clinic/Center | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2017-12-26 |
| 1962741157 | Variety Care, Inc.c | Clinic/Center | 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 | 2013-02-07 |
| 1376725812 | Community Health Centers Inc. | Clinic/Center | 1901 Springlake Drive, Oklahoma City, OK 73111-5201 | 2007-11-27 |
| 1023091519 | Community Health Centers, Inc. | Clinic/Center | 411 Nw 11th St, Oklahoma City, OK 73103 | 2005-11-29 |
| 1457980526 | Variety Care Inc | Clinic/Center | 5401 N Portland Ave Ste 500, Oklahoma City, OK 73112-2126 | 2020-04-02 |
| 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 |
| 1518222306 | Community Health Centers At Red Rock | Clinic/Center | 4400 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2012-07-09 |
| 1285940833 | Oklahoma Community Health Services, Inc. | Clinic/Center | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2010-08-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.