VICTORY CLINICAL SERVICES III LLC
VICTORY CLINICAL SERVICES III LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629101829, based in Jackson, MI. The organization lists 2 taxonomy classifications, with Multi-Specialty Clinic/Center recorded as primary.
Getting there
The practice address on file is 3300 LANSING AVE, Jackson, MI 49202. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 380098 | MI | Multi-Specialty Clinic/Center primary |
This provider holds licence 380098 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Opioid Treatment Program (otp)
- PAC ID
- 0244487825
- Enrollment ID
- O20200122000109
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Opioid Treatment Program (otp). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Multi-Specialty covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QM1300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | 380098 | MI | primary |
| 261QM2800X | Methadone Clinic Methadone | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629101829 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 14, 2007 |
| Last updated | Aug 7, 2026 |
| Status | Active |
| Practice address |
3300 LANSING AVE Jackson, MI 49202 (517) 784-2929 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 1 | 0 | 1 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 2 | 0 | 2 | 8 | 4 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.