Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTORY CLINICAL SERVICES III LLC
NPI 1629101829
Clinic/Center - Multi-Specialty in Jackson, MI

Q: What is Victory Clinical Services III LLC's NPI number?

The NPI number for Victory Clinical Services III LLC is 1629101829. It was assigned to this organization in the NPPES registry on March 14, 2007.

Q: What is Victory Clinical Services III LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since March 14, 2007

3300 LANSING AVE, JACKSON, MI 49202(517) 784-2929 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Victory Clinical Services Iii Llc NPPES

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

VICTORY CLINICAL SERVICES III LLC (NPI 1629101829) is a healthcare organization registered as a multi-specialty in Jackson, Michigan and active in the NPI registry since March 2007. The organization lists David Blankenship, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629101829

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameVICTORY CLINICAL SERVICES III LLC

Location Address3300 LANSING AVEJackson, MI 49202-1621

Mailing Address3300 Lansing AveJackson, MI 49202-1621 · (517) 784-2929 · Fax (517) 784-3030

Phone(517) 784-2929

Organization SubpartNo

Authorized OfficialDavid BlankenshipExecutive Director · (517) 784-2929

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 7, 2026

NPPES CertifiedAugust 7, 2026

✔ NPI 1629101829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

License✔ Licensed in MI · 380098

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

3300 LANSING AVE, Jackson, MI 49202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

749 services24 patients

Other Providers at the Same Location NPPES 20

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

MR. CHARLES E BONNEY CADC

Counselor (Addiction (Substance Use Disorder))