Victory Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VICTORY MEDICAL EQUIPMENT

Practice address

710 E Main
Tishomingo, OK 73460

Phone

(580) 371-0340

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin D Morgan I

Title

Manager

Phone

(580) 371-0340

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316165772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E MAIN",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "73460",
            "telephone_number": "580-371-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E MAIN",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "73460",
            "telephone_number": "580-371-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-371-0340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valor Wellness, LLC
• Paige Vandegrift
• Victory Health Clinic LLC
• Victory Home Health, LLC (Victory Home Health and Hospice)
• Victory Hospice, Inc. (Victory Home Health & Hospice)
• Victory Medical Equipment, LLC
• Micheal Visnieski, M.ED.
• Laura Anne Walgren, PA-C
• Taylor Montana Wallace
• Hollie R Walters

• Durable Medical Equipment & Medical Supplies in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.