Victory Clinic Iv
LBN: Victory Clinical Services Iv, Llc
Victory Clinic Iv is an health care organization with primary practice located at 508 Shattuck Rd , Saginaw MI 48604-2329. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Victory Clinical Services Iv, Llc can be contacted via phone (989) 754-7867, or through Blankenship, David via phone (989) 754-7867.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 730208 | Michigan |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 730208 | Michigan |
Profile Details
| NPI number | 1922249440 |
|---|---|
| LBN Legal business name | Victory Clinical Services Iv, Llc |
| DBA Doing business as | Victory Clinic Iv |
| Authorized official | Blankenship, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2009 |
| Last updated | Mar 12th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922249440 | NPPES |
| Michigan | Other | MI10200M | OTP-SAMHSA ID |
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