| Victory Clinical Services Llc | |
|
401 Howard St Kalamazoo MI 49001-2748 | |
| (269) 344-4458 | |
| Not Available |
| Full Name | Victory Clinical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Howard St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Susan Mcclees (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2693444458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Clinical Services Llc 401 Howard St Kalamazoo MI 49001-2748 Ph: (269) 344-4458 | Victory Clinical Services Llc 401 Howard St Kalamazoo MI 49001-2748 Ph: (269) 344-4458 |
| NPI Number | 1447383500 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/15/2015 |
| Medicare PECOS PAC ID | 3678729506 |
|---|---|
| Medicare Enrollment ID | O20200127000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447383500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 390114 (Michigan) | Primary |
| 261QM2800X | Clinic/center - Methadone | 390114 (Michigan) | Secondary |
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