VARIETY CARE, INC (NPI# 1669787453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669787453 |
| Entity Type | Organization |
| Organization Name | VARIETY CARE, INC |
| Other Organization Name | VARIETY CARE PORTLAND |
| Practice Address |
5320 N Portland Ave Oklahoma City OK 73112-2098 |
| Mailing Address |
3000 N Grand Blvd Oklahoma City OK 73107-1818 |
| Practice Telephone | 4056326688 |
| Practice Fax Number | 4059464445 |
| Mailing Telephone | 4056326688 |
| Mailing Fax Number | 8446899671 |
| Enumeration Date | 2010-08-17 |
| 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 Portland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689397 | Variety Care, Inc | Pharmacy | 721 W Britton Rd, Oklahoma City, OK 73114-2909 | 2018-05-10 |
| 1336527928 | Variety Care, Inc | Clinic/Center | 201 W 1st St, Grandfield, OK 73546-9236 | 2015-05-14 |
| 1316334188 | Variety Care, Inc | Clinic/Center | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2015-04-20 |
| 1033344197 | Variety Care, Inc | Clinic/Center | 4023 Nw 10th St, Oklahoma City, OK 73107-6038 | 2009-05-19 |
| 1275646143 | Variety Care, Inc | Clinic/Center | 111 W Main St, Fort Cobb, OK 73038-5866 | 2006-08-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | VARIETY CARE, INC. | 1025 Straka Terrace, Oklahoma City, OK 73139 |
| Street Address |
5320 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689734733 | David E. Korber M.d. P.c | Ophthalmology | 5320 N Portland Ave, Oklahoma City, OK 73112-2098 | 2006-12-11 |
| 1063923415 | Rachel Cornett Fields | Nurse Practitioner | 5320 N Portland Ave, Oklahoma City, OK 73112-2098 | 2017-10-12 |
| 1881016954 | Variety Care | Pharmacy | 5320 N Portland Ave, Oklahoma City, OK 73112-2098 | 2014-01-09 |
| 1033306873 | Courtney Brooke Atchley | Pediatrics | 5320 N Portland Ave, Oklahoma City, OK 73112-2098 | 2007-09-25 |
| 1295852861 | Northwest Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5320 N Portland Ave, Oklahoma City, OK 73112-2098 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 | 73112 |
Please comment or provide details below to improve the information on VARIETY CARE, INC.
| 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.