VARIETY CARE, INC. (NPI# 1467789610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467789610 |
| Entity Type | Organization |
| Organization Name | VARIETY CARE, INC. |
| Other Organization Name | VARIETY CARE NORTHCARE |
| Practice Address |
2617 General Pershing Blvd Oklahoma City OK 73107-6437 |
| 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 | 2009-11-09 |
| 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 Northcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1140 N Hudson Ave, Oklahoma City, OK 731033918 | 4056326688 | 4056054875 |
| 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 |
| 1770826661 | Variety Care, Inc. | Clinic/Center | 4021 S Walker Ave Ste 201, Oklahoma City, OK 73109-6972 | 2013-03-29 |
| 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 |
2617 GENERAL PERSHING BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-6437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245479 | Ahsan Y Khan | Psychiatry & Neurology | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2005-06-16 |
| 1801402334 | Karli Nicole Smith | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-09-21 |
| 1306459193 | Kristen Dunham | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-31 |
| 1043823206 | Cammie Lorraine Soriano | Case Manager/Care Coordinator | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-27 |
| 1386257673 | Abigail Kirsten Williams | Case Manager/Care Coordinator | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-26 |
| 1962014258 | Brandi Shearer | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-19 |
| 1114538477 | Iridia Chavez Mares | Peer Specialist | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-11 |
| 1457961542 | Tiffany Jeanette Lefebvre | Peer Specialist | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-08-04 |
| 1790393262 | Amy Pavelka | Case Manager/Care Coordinator | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-07-21 |
| 1386262632 | Riley Jordan Copeland | Counselor | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| 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 |
| 1770826661 | Variety Care, Inc. | Clinic/Center | 4021 S Walker Ave Ste 201, Oklahoma City, OK 73109-6972 | 2013-03-29 |
| 1518222306 | Community Health Centers At Red Rock | Clinic/Center | 4400 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2012-07-09 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
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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.