NPI | 1467789610 |
---|---|
Doing Business As | VARIETY CARE NORTHCARE |
Entity Type | Organization |
Authorized Contact | TIM REDDOUT CFO 405-632-6688 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2020-02-26 |