Victa LLC
Clinic/Center, Methadone Clinic in Providence, Rhode Island
1457822413- Practice location
- 110 Elmwood Ave, Providence, RI 02907-2423
- Phone
- 401-300-5757
- Fax
- 401-300-5656
- Last updated
- February 21, 2019
Victa LLC is a healthcare organization based in Providence, RI. Victa LLC practices in Providence, RI. The NPI Number for Victa LLC is 1457822413. The current practice location address for Victa LLC is 110 Elmwood Ave, Providence, RI 02907-2423 and can be reached out via phone at 401-300-5757 and via fax at 401-300-5656.
Provider Profile Details
- NPI Number
- 1457822413
- Provider Name
- Victa LLC
- Provider Entity Type
- Organization
- Address
- 110 Elmwood Ave, Providence, RI 02907-2423
- Phone Number
- 401-300-5757
- Fax Number
- 401-300-5656
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Mr. Alexander Donoyan, MBA, LCDP · Ceo · 401-300-5757
- Provider Enumeration Date
- December 16, 2018
- Last Update Date
- February 21, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Elmwood Ave
Providence, RI 02907-2423 - City
- Providence
- State
- Rhode Island
- Zip
- 02907-2423
- Phone Number
- 401-300-5757
- Fax Number
- 401-300-5656
Provider Business Mailing Address Details
- Address
- 110 Elmwood Ave
Providence, RI 02907-2423 - City
- Providence
- State
- RI
- Zip
- 02907-2423
- Phone Number
- 401-300-5757
- Fax Number
- 401-300-5656
License Information
- Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Methadone Clinic providers near Providence, RI
View all Clinic/Center, Methadone Clinic providers in Providence →Frequently Asked Questions
What is the NPI number of Victa LLC?
The NPI number of Victa LLC is 1457822413. It was assigned on December 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Victa LLC?
Victa LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X).
Where does Victa LLC practice?
The practice location is 110 Elmwood Ave, Providence, RI 02907-2423. The office can be reached at 401-300-5757 (phone) or 401-300-5656 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457822413 directly on the NPPES registry website.