VICTORY CLINIC IV
NPI 1922249440
Clinic/Center - Methadone in Saginaw, MI

NPI Status: Active since March 12, 2009

Contact Information

508 SHATTUCK RD
SAGINAW, MI
ZIP 48604
Phone: (989) 754-7867

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  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance

About VICTORY CLINIC IV

This page provides the complete NPI Profile along with additional information for Victory Clinic Iv, a provider established in Saginaw, Michigan operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1922249440 assigned on March 2009. The practitioner's primary taxonomy code is 261QM2800X with license number 730208 (MI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Victory Clinic Iv. The authorized official of this NPI record is Mr. David Blankenship (Program Director)

NPI
1922249440
Provider Legal Name
VICTORY CLINICAL SERVICES IV, LLC
Other Organization Name
VICTORY CLINIC IV
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
508 SHATTUCK RD SAGINAW, MI 48604
Location Phone
(989) 754-7867
Mailing Address
508 SHATTUCK RD SAGINAW, MI 48604
Mailing Phone
(989) 754-7867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2009
Last Update Date
03-12-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
730208
License State
MI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

730208 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID BLANKENSHIP

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(989) 754-7867

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MI10200MOTHER (01)MIOTP-SAMHSA ID

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 1,220 times for 39 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

This service was performed 18 times for 17 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

This service was performed 374 times for 25 patients

Reviews for VICTORY CLINIC IV

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922249440, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 4 + 4 + 1 + 8 + 4 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1922249440.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Family Medicine (Addiction Medicine)
508 SHATTUCK RD
SAGINAW, MI 48604
Social Worker (Clinical)
508 SHATTUCK RD
SAGINAW, MI 48604
Social Worker
508 SHATTUCK RD
SAGINAW, MI 48604
Licensed Practical Nurse
508 SHATTUCK RD
SAGINAW, MI 48604
Licensed Practical Nurse
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Social Worker (Clinical)
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Social Worker
508 SHATTUCK RD
SAGINAW, MI 48604
Psychologist (Counseling)
508 SHATTUCK RD
SAGINAW, MI 48604
Social Worker
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Licensed Practical Nurse
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Counselor (Addiction (Substance Use Disorder))
508 SHATTUCK RD
SAGINAW, MI 48604
Case Manager/Care Coordinator
508 SHATTUCK RD
SAGINAW, MI 48604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922249440, enumerated as an "organization" on March 12, 2009.

The provider is located at 508 SHATTUCK RD SAGINAW, MI 48604 and the phone number is (989) 754-7867.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.