Victory Medical Supply, Llc

LBN: Victory Medical Supply, Llc
Victory Medical Supply, Llc is an health care organization with primary practice located at 140 N 100 E , American Fork UT 84003-1735. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Victory Medical Supply, Llc can be contacted via phone (801) 770-0520, or through Johns, Nathan T via phone (801) 770-0520.

Contact Information

Primary practice address
140 N 100 E American Fork UT 84003-1735
Phone: (801) 770-0520
Fax: (801) 770-0922
Website:
Map and Directions
Authorized official contact:
Name: Johns, Nathan T
Phone: (801) 770-0520

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1073134649
LBN Legal business name Victory Medical Supply, Llc
DBA Doing business as
Authorized official Johns, Nathan T
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2020
Last updated May 5th, 2020 - about 4 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 1073134649 NPPES
Other 626888500 DOL PROVIDER #

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