VICTORY CLINICAL SERVICES LLC (NPI# 1447383500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447383500 |
| Entity Type | Organization |
| Organization Name | VICTORY CLINICAL SERVICES LLC |
| Practice Address |
401 Howard St Kalamazoo MI 49001-2748 |
| Practice Telephone | 2693444458 |
| Mailing Telephone | 2693444458 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | SUSAN MCCLEES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2693444458 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
390114 | MI | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
390114 | MI | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VICTORY CLINICAL SERVICES LLC | 4902 S Cedar St, Lansing, MI 48910-5474 |
| Street Address |
401 HOWARD ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193821 | Shyla Semaj Lipsey | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2020-10-29 |
| 1497364772 | Melanie Corrine Lozer | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2020-07-23 |
| 1356981781 | Jazmin Guy-wallace | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2020-01-14 |
| 1487202602 | Reina Roznowski | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2019-08-30 |
| 1700434917 | Janay Christian | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2019-08-30 |
| 1215591615 | Holli Taylor | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2019-05-01 |
| 1346711066 | Stephanie Poulos | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-12-06 |
| 1467922344 | Heather Olech | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-12-04 |
| 1972088003 | Corrina Lashae Edmonson | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-09-25 |
| 1811478639 | Justice Nicole Nemitz | Counselor | 401 Howard St, Kalamazoo, MI 49001-2748 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467249 | Michigan State University Kalamazoo Center for Medical Studies | Clinic/Center | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2005-06-17 |
| 1154840684 | Premier Vein Plc | Clinic/Center | 1535 Gull Road, Suite 200, Kalamazoo, MI 49048 | 2017-09-15 |
| 1356744692 | Wmu School of Medicine Cmds Clinic | Clinic/Center | 1000 Oakland Dr, Kalamazoo, MI 49008 | 2014-10-01 |
| 1790192946 | Family Health Center Inc | Clinic/Center | 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 | 2014-07-21 |
| 1902234123 | Family Health Center, Inc | Clinic/Center | 117 W Paterson St, Kalamazoo, MI 49007-2557 | 2013-10-25 |
| 1316212343 | Western Michigan University School of Medicine | Clinic/Center | 1000 Oakland Dr, Kalamazoo, MI 49008 | 2012-03-08 |
| 1598068553 | Family Health Center, Inc. | Clinic/Center | 2918 Portage St, Kalamazoo, MI 49001-3755 | 2010-12-14 |
| 1841467545 | Western Michigan University Unified Clinics | Clinic/Center | 1000 Oakland Dr, Fl 3, Kalamazoo, MI 49008-1282 | 2008-05-12 |
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| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
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| 1669087854 | Advance Counseling Services, LLC | Clinic/Center | 110 Trealout Dr Ste 103, Fenton, MI 48430-3211 | 2020-09-14 |
| 1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
| 1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
| 1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
| 1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
| 1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.