VARIETY CARE, INC. (NPI# 1780697813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780697813 |
| Entity Type | Organization |
| Organization Name | VARIETY CARE, INC. |
| Other Organization Name | VARIETY CARE, STRAKA |
| Practice Address |
1025 Straka Ter Oklahoma City OK 73139-2544 |
| Mailing Address |
3000 N Grand Blvd Oklahoma City OK 73107-1818 |
| Practice Telephone | 4056326688 |
| Practice Fax Number | 4056040708 |
| Mailing Telephone | 4056326688 |
| Mailing Fax Number | 4056040708 |
| Enumeration Date | 2006-08-13 |
| 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) |
OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100734110B | 05 |
| Other Name | Type Code |
|---|---|
| Variety Care, Straka | 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | VARIETY CARE, INC. | 1025 Straka Terrace, Oklahoma City, OK 73139 |
| Street Address |
1025 STRAKA TER |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063493187 | Violet Loren Cohen | Pediatrics | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2005-11-07 |
| 1629685946 | Jackeline Vanessa Pickelsimer | Nurse Practitioner | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-09-30 |
| 1033727615 | Kendall Mccormick | Advanced Practice Midwife | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-07-20 |
| 1144845090 | Allison Fuzzell | Pharmacist | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-06-16 |
| 1093330250 | Erin Scott | Pharmacist | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-06-13 |
| 1659902385 | Evodio Hector Estrada | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-01-31 |
| 1730726803 | Kimberly Louise Bittle | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2019-12-07 |
| 1588211361 | Kathy Huynh | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2019-08-26 |
| 1831682798 | Steve Tuan Nguyen | Dentist | 1025 Straka Ter, Oklahoma City, OK 73139 | 2018-06-14 |
| 1316334188 | Variety Care, Inc | Clinic/Center | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| 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 | 73139 |
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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.