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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

Active since March 12, 2009

508 SHATTUCK RD, SAGINAW, MI 48604(989) 754-7867 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Victory Clinic Iv NPPES

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

VICTORY CLINIC IV (NPI 1922249440) is a healthcare organization registered as a methadone in Saginaw, Michigan and active in the NPI registry since March 2009. The organization lists David Blankenship, Program Director, as its authorized official.

NPPES Registry Identity

NPI1922249440

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameVICTORY CLINICAL SERVICES IV, LLC

Location Address508 SHATTUCK RDSaginaw, MI 48604-2329

Mailing Address508 Shattuck RdSaginaw, MI 48604-2329 · (989) 754-7867

Phone(989) 754-7867

Organization SubpartNo

Authorized OfficialDavid BlankenshipProgram Director · (989) 754-7867

Enumeration DateMarch 12, 2009

✔ NPI 1922249440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities

Taxonomy Code261QM2800X

License✔ Licensed in MI · 730208

Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 730208 (MI)

508 SHATTUCK RD, Saginaw, MI 48604

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Other Names 1

Other NameVictory Clinic Iv

Other Identifiers 1

OtherMI10200MMI · Otp-samhsa Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

1,220 services39 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 G2078

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.

374 services25 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 G2077

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.

18 services17 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.

MRS. SHANNON MELISSA TAYLOR BOND BA, CAC-M

Counselor (Addiction (Substance Use Disorder))