Victory Clinical Services Lansing
LBN: Victory Clinical Services Lansing
Victory Clinical Services Lansing is an health care organization with primary practice located at 4902 S Cedar St , Lansing MI 48910-5474. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty.
Victory Clinical Services Lansing can be contacted via phone (517) 394-7867, or through Blankenship, David via phone (517) 394-7867.
Contact Information
Primary practice address
4902 S Cedar St
Lansing MI 48910-5474
Phone: (517) 394-7867
Fax: (517) 394-7869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 330330 | Michigan |
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 330330 | Michigan |
Profile Details
| NPI number | 1861627507 |
|---|---|
| LBN Legal business name | Victory Clinical Services Lansing |
| DBA Doing business as | |
| Authorized official | Blankenship, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2009 |
| Last updated | Mar 22nd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861627507 | NPPES |
| Michigan | Other | MI 10046M | OTP - SAMHSA # |
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