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VICTORY HEALTH CLINIC LLC
NPI 1912965898
Clinic/Center in Tishomingo, OK

Active since May 02, 2006
714 E MAIN ST, TISHOMINGO, OK 73460(580) 371-8500(580) 371-2282 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victory Health Clinic Llc NPPES

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

VICTORY HEALTH CLINIC LLC (NPI 1912965898) is a healthcare organization registered as a clinic/center in Tishomingo, Oklahoma and active in the NPI registry since May 2006. The organization lists Joan Weems, Owner, as its authorized official.

NPPES Registry Identity

NPI1912965898
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameVICTORY HEALTH CLINIC LLC
Location Address714 E MAIN STTishomingo, OK 73460-2350
Mailing Address705 W Main StTishomingo, OK 73460-1734 · (580) 371-2002 · Fax (580) 371-2058
Phone(580) 371-8500
Fax(580) 371-2282
Organization SubpartNo
Authorized OfficialJoan WeemsOwner · (580) 371-8500
Enumeration DateMay 2, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1912965898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
714 E MAIN ST, Tishomingo, OK 73460
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Other Identifiers 1

OtherDC5163Rr Medicare

Other Providers at the Same Location NPPES

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

KIMBERLY CRIPPS RN
Registered Nurse (Administrator)
714 E MAIN ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2002

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 Health Clinic LLC's NPI number?

The NPI number for Victory Health Clinic LLC is 1912965898. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Victory Health Clinic LLC located?

Victory Health Clinic LLC is located at 714 E Main St, Tishomingo, OK 73460. The listed phone number is (580) 371-8500.

What is Victory Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Victory Health Clinic LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.