NPIMap

Organization Active NPI

Victory Clinical Services LLC

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1447383500
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
390114 Issued in MI
Legal business name
VICTORY CLINICAL SERVICES LLC
Practice address
401 Howard St
Kalamazoo, MI 49001-2748
Phone
(269) 344-4458
NPI assigned
Mar 14, 2007
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
David BlankenshipNPI 1891908463
Title
Executive Director
Phone
(269) 344-4458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 390114 MI Primary
Methadone Clinic 261QM2800X 390114 MI

Addresses

Primary practice location

401 Howard St
Kalamazoo, MI 49001-2748

Mailing address

401 Howard St
Kalamazoo, MI 49001-2748
Phone (269) 344-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200127000309 MI Part B Supplier - Opioid Treatment Program (Otp) 3678729506 Practice locations: Kalamazoo, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2058741Victory Clinical Services401 Howard Street, Kalamazoo, MI 49001Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

1020 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 344-4458

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1447383500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012748",
            "telephone_number": "269-344-4458",
            "fax_number": "269-344-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012748",
            "telephone_number": "269-344-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-344-4458"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MI",
            "license": "390114",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "390114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.