Victory Clinical Services Llc in Kalamazoo - Methadone
Victory Clinical Services Llc - NPI 1447383500
Victory Clinical Services Llc is a Methadone in Kalamazoo, Michigan. Victory Clinical Services Llc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Victory Clinical Services Llc is 1447383500. The last update date is 2015-07-15.
Victory Clinical Services Llc's current location address is 401 Howard St, Kalamazoo, Michigan. You can contact this provider via phone number 2693444458. The mailing address for Victory Clinical Services Llc is 401 Howard St, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Victory Clinical Services Llc |
|---|---|
| Address | 401 Howard St, Kalamazoo, Michigan |
| Phone Number | 2693444458 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mcclees Susan |
| Telephone Number | 2693444458 |
NPI Number Detail
| NPI Number | 1447383500 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2015-07-15 |
Provider Mailing Address Detail
| Address | 401 Howard St |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490012748 |
| Phone Number | 2693444458 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 390114 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
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What is the unique identifier code issued to Victory Clinical Services Llc by the Centers for Medicare & Medicaid Services?
The Victory Clinical Services Llc has been assigned the NPI (National Provider Identifier) 1447383500. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Victory Clinical Services Llc?
The Victory Clinical Services Llc is situated at 401 Howard St, in the city of Kalamazoo, state of MI, with the zip code 490012748.
What is Victory Clinical Services Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Victory Clinical Services Llc is Methadone, and the taxonomy code that categorizes this field of expertise is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447383500 to Victory Clinical Services Llc?
The Victory Clinical Services Llc received its 1447383500 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the Victory Clinical Services Llc's details last updated?
The information pertaining to the Victory Clinical Services Llc, including its address, specialty, and other details, was most recently updated on 2015-07-15.
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