Variety Care 10Th Street

LBN: Variety Care, Inc
Variety Care 10Th Street is an health care organization with primary practice located at 4023 Nw 10Th St , Oklahoma City OK 73107-6038. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Variety Care, Inc can be contacted via phone (405) 632-6688, or through Reddout, Tim via phone (405) 632-6688.

Contact Information

Primary practice address
4023 Nw 10Th St Oklahoma City OK 73107-6038
Phone: (405) 632-6688
Fax: (405) 604-0708
Website:
Map and Directions
Authorized official contact:
Name: Reddout, Tim
Phone: (405) 632-6688

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1033344197
LBN Legal business name Variety Care, Inc
DBA Doing business as Variety Care 10Th Street
Authorized official Reddout, Tim
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2009
Last updated Feb 26th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033344197 NPPES
Oklahoma MEDICAID 100734110N
Oklahoma Other 371855

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