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VICTORY DIABETES AND PRIMARY CLINIC
NPI 1467220871
Family Medicine in Longview, WA

Active since December 14, 2023
1430 16TH AVE, LONGVIEW, WA 98632(253) 331-2381(253) 201-6070 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Dec 14, 2023 (2 updates tracked since 2023).

About Victory Diabetes And Primary Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY DIABETES AND PRIMARY CLINIC (NPI 1467220871) is a healthcare organization registered as a family medicine in Longview, Washington and active in the NPI registry since December 2023. The organization lists Gerard Sebastian, Owner, as its authorized official.

NPPES Registry Identity

NPI1467220871
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVICTORY HEALTHCARE LLC
Location Address1430 16TH AVELongview, WA 98632-2901
Mailing Address1430 16th AveLongview, WA 98632-2901 · (360) 857-0451 · Fax (360) 857-0002
Phone(253) 331-2381
Fax(253) 201-6070
Organization SubpartNo
Authorized OfficialGerard SebastianOwner · (304) 551-2496
Enumeration DateDecember 14, 2023
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1467220871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1430 16TH AVE, Longview, WA 98632
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Other Names 1

Doing Business AsVictory Diabetes And Primary Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILIP JAMES MIOLLIS DDS
Dentist
1430 16TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-2520
KESSA MYSTIQUE STEPHENSON-TAYLOR AA, BA
Counselor (Mental Health)
1430 16TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 799-4556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Healthcare LLC's NPI number?

The NPI number for Victory Healthcare LLC is 1467220871. It was assigned to this organization in the NPPES registry on December 14, 2023. The provider is doing business as Victory Diabetes And Primary Clinic.

Where is Victory Healthcare LLC located?

Victory Healthcare LLC is located at 1430 16th Ave, Longview, WA 98632. The listed phone number is (253) 331-2381.

What is Victory Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Victory Healthcare LLC accept?

Health plans from Moda Health Plan, Inc. list Victory Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victory Healthcare LLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.