Victory Health Clinic Llc

LBN: Victory Health Clinic Llc
Victory Health Clinic Llc is an health care organization with primary practice located at 714 E Main St , Tishomingo OK 73460-2350. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Victory Health Clinic Llc can be contacted via phone (580) 371-8500, or through Weems, Joan via phone (580) 371-8500.

Contact Information

Primary practice address
714 E Main St Tishomingo OK 73460-2350
Phone: (580) 371-8500
Fax: (580) 371-2282
Website:
Map and Directions
Authorized official contact:
Name: Weems, Joan Registered Nurse (RN)
Phone: (580) 371-8500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1912965898
LBN Legal business name Victory Health Clinic Llc
DBA Doing business as
Authorized official Weems, Joan Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Apr 20th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912965898 NPPES
Other DC5163 RR MEDICARE

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