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institution
Victory Health Clinic Llc
Clinic/Center in Tishomingo, Oklahoma
NPI 1912965898

Victory Health Clinic Llc is a Clinic/Center based in Tishomingo, OK. Victory Health Clinic Llc practices in Tishomingo, OK. The NPI Number for Victory Health Clinic Llc is 1912965898 and holds a License No. (Oklahoma).

The current practice location address for Victory Health Clinic Llc is 714 E Main St, Tishomingo, OK and can be reached out via phone at 580-371-8500 and via fax at 580-371-2282.

Location: 714 E Main St, Tishomingo, OK, 73460-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912965898
Provider Name
Victory Health Clinic Llc
Credential
Provider Entity Type
Organization
Address
714 E Main St, Tishomingo, OK, 73460-1734
Phone Number
580-371-8500
Fax Number
580-371-2282
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC5163 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
714 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2350
Phone Number
580-371-8500
Fax Number
580-371-2282
person
Provider Business Mailing Address Details
Address
714 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2350
Phone Number
580-371-8500
Fax Number
580-371-2282
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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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).
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