Victory Health Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VICTORY HEALTH CLINIC LLC

Practice address

714 E Main St
Tishomingo, OK 73460-2350

Phone

(580) 371-8500

Fax

(580) 371-2282

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Weems, RN

Title

Owner

Phone

(580) 371-8500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1912965898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601734",
            "telephone_number": "580-371-2002",
            "fax_number": "580-371-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602350",
            "telephone_number": "580-371-8500",
            "fax_number": "580-371-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-371-8500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC5163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry D. Trosin
• Joni J. Trosin, MA,BHRS
• Terry Lynn Truett Jr., LPC
• Valor Wellness, LLC
• Paige Vandegrift
• Victory Home Health, LLC
• Victory Hospice, Inc.
• Victory Medical Equipment
• Victory Medical Equipment, LLC
• Micheal Visnieski, M.ED.

• Clinic/Center in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.