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:
Map and Directions
Authorized official contact:
Name: Blankenship, David
Phone: (517) 394-7867

Health care specialties

SpecialtyCodeLicense #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 14 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 1861627507 NPPES
Michigan Other MI 10046M OTP - SAMHSA #

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