Victory Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VICTORY MEDICAL EQUIPMENT, LLC

Practice address

104 Thoma Dr Ste 3
Elgin, OK 73538-2203

Phone

(580) 492-4079

Fax

(580) 492-4089

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

VICTORY MEDICAL EQUIPMENT, LLCAs reported in NPPES

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

Authorized official

Name

Joan Weems, RN

Title

Owner

Phone

(580) 492-4079

Specialties & licenses 3

Addresses

Part of

Victory Medical Equipment LLC

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1740590009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602350",
            "telephone_number": "580-371-0340",
            "fax_number": "580-371-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 THOMA DR STE 3",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735382203",
            "telephone_number": "580-492-4079",
            "fax_number": "580-492-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORY MEDICAL EQUIPMENT, LLC",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-492-4079",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valir Outpatient Clinic #7 LLC
• Victory Home Health, LLC (Victory Home Health and Hospice)
• Victory Hospice, Inc. (Victory Home Health and Hospice)
• Victory Medical Equipment
• Victory Medical Equipment LLC
• Shelby Leigh Zimmerman

• Durable Medical Equipment & Medical Supplies in Elgin, OK
• Providers in Elgin, 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 Oct 20, 2010; 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.