Provider Demographics
NPI:1811182132
Name:VICTORY MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:VICTORY MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-371-0340
Mailing Address - Street 1:P.O. BOX 769 VICTORY MEDICAL EQUIPMENT
Mailing Address - Street 2:8209 HWY 277 STE C
Mailing Address - City:ELGIN
Mailing Address - State:OK
Mailing Address - Zip Code:73538
Mailing Address - Country:US
Mailing Address - Phone:580-492-4079
Mailing Address - Fax:580-492-6160
Practice Address - Street 1:8209 HWY 277 STE C
Practice Address - Street 2:VICTORY MEDICAL EQUIPMENT LLC
Practice Address - City:ELGIN
Practice Address - State:OK
Practice Address - Zip Code:73538
Practice Address - Country:US
Practice Address - Phone:580-492-4079
Practice Address - Fax:580-492-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies