Victory Clinic Llc | |
715 Southwind Dr Junction City KS 66441-9021 | |
(785) 209-3779 | |
(785) 209-3780 |
Full Name | Victory Clinic Llc |
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Speciality | Clinic/Center |
Location | 715 Southwind Dr, Junction City, Kansas |
Authorized Official Name and Position | Kristie Michelle Clark (MEMBER/OWNER) |
Authorized Official Contact | 8176919968 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Victory Clinic Llc 715 Southwind Dr Junction City KS 66441-9021 Ph: (785) 209-3779 | Victory Clinic Llc 715 Southwind Dr Junction City KS 66441-9021 Ph: (785) 209-3779 |
NPI Number | 1104540079 |
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Provider Enumeration Date | 10/03/2022 |
Last Update Date | 02/04/2025 |
Medicare PECOS PAC ID | 8729459607 |
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Medicare Enrollment ID | O20230201001812 |
Identifier | Type | State | Issuer |
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1104540079 | NPI | - | NPPES |
Provider Name | Robert T Clark |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811903560 PECOS PAC ID: 2668574633 Enrollment ID: I20100610001087 |
Provider Name | James Clements |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427426360 PECOS PAC ID: 3870899446 Enrollment ID: I20160426000956 |
Provider Name | Kristie Michelle Clark |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558473884 PECOS PAC ID: 5698776920 Enrollment ID: I20230825002670 |
Provider Name | Brooke Julian Thouvenot |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053876573 PECOS PAC ID: 6406196781 Enrollment ID: I20240522001405 |
Konza Prairie Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 361 Grant Ave, Junction City, KS 66441 Phone: 785-238-4711 Fax: 785-530-6150 | |