Victory Hospice, Inc.

LBN: Victory Hospice, Inc.
Victory Hospice, Inc. is an health care organization with primary practice located at 750 E Main St , Tishomingo OK 73460-2350. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Victory Hospice, Inc. can be contacted via phone (580) 371-2002, or through Cripps, Kim via phone (580) 371-2002.

Contact Information

Primary practice address
750 E Main St Tishomingo OK 73460-2350
Phone: (580) 371-2002
Fax: (580) 371-2058
Website:
Map and Directions
Authorized official contact:
Name: Cripps, Kim Registered Nurse (RN)
Phone: (580) 371-2002

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 4099 Oklahoma

Profile Details

NPI number 1154309839
LBN Legal business name Victory Hospice, Inc.
DBA Doing business as
Authorized official Cripps, Kim Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 17th, 2015 - about 10 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 1154309839 NPPES
Oklahoma MEDICAID 200010380A

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