VICTORY HOSPICE, INC.; NPI #1154309839

Contact Information

VICTORY HOSPICE, INC.

750 E MAIN ST
TISHOMINGO, OK 73460-2350

Phone: 580-371-2002
Fax: 580-371-2058
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for VICTORY HOSPICE, INC.

NPI Number 1154309839

LBN Legal business name VICTORY HOSPICE, INC.

Authorized official KIM CRIPPS - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/04/2006

Last updated 06/17/2015 - About 11 years ago

Identifiers

OK	License #	4099
OK	Medicaid	200010380A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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VICTORY HOSPICE, INC.

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for VICTORY HOSPICE, INC.

Reviews for VICTORY HOSPICE, INC.