Victory Clinic LLC
NPI 1104540079 · Multi-Specialty Clinic/Center · Junction City, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Clinic LLC is a Multi-Specialty Clinic/Center organization in Junction City, KS (NPI 1104540079).
Provider details
- NPI number
- 1104540079
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristie Clark, Owner(719) 698-7933
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 6510 S Academy Blvd Ste 110Colorado Springs, CO 80906-8691Phone: (719) 698-7933Fax: (719) 698-7929
- 705 1st Ave Ste aDodge City, KS 67801-4437Phone: (620) 471-3140Fax: (620) 471-3141
- 842 N Main StLansing, KS 66043-1305Phone: (913) 250-5155Fax: (913) 250-5515
- 3905 Vanesta DrManhattan, KS 66503-2001Phone: (785) 775-1867Fax: (785) 775-1700
Registry dates
- Enumerated
- 2022-10-03
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Frequently asked questions
- What is Victory Clinic LLC's NPI number?
- Victory Clinic LLC's National Provider Identifier (NPI) is 1104540079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Clinic LLC?
- Victory Clinic LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Victory Clinic LLC located?
- Victory Clinic LLC's practice location on file with NPPES is 715 Southwind Dr, Junction City, KS 66441-9021.
- What is Victory Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Clinic LLC is (785) 209-3779.
- Does Victory Clinic LLC accept Medicare?
- Victory Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Victory Clinic LLC?
- The authorized official listed on Victory Clinic LLC's NPPES record is Kristie Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Clinic LLC's NPI active?
- Yes — Victory Clinic LLC's NPI (1104540079) is active in the NPPES registry as of the last update on 2026-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.