Victory Medical Supply

LBN: Victory Medical Supply
Victory Medical Supply is an health care organization with primary practice located at 29350 Southfield Rd Ste 121, Southfield MI 48076-2053. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Victory Medical Supply can be contacted via phone (248) 552-8533, or through Idiong, Rose via phone (248) 552-8533.

Contact Information

Primary practice address
29350 Southfield Rd Ste 121 Southfield MI 48076-2053
Phone: (248) 552-8533
Fax: (248) 552-7281
Website:
Map and Directions
Authorized official contact:
Name: Idiong, Rose
Phone: (248) 552-8533

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1528070976
LBN Legal business name Victory Medical Supply
DBA Doing business as
Authorized official Idiong, Rose
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Aug 22nd, 2020 - about 3 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 1528070976 NPPES
Michigan MEDICAID 4509852

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