| Victory Village Inc | |
|
12408 Kennedy Flat Rd Jackson CA 95642-9576 | |
| (209) 223-2286 | |
| Not Available |
| Full Name | Victory Village Inc |
|---|---|
| Speciality | General Practice |
| Location | 12408 Kennedy Flat Rd, Jackson, California |
| Authorized Official Name and Position | Nichole Mulford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2092232286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Village Inc 12408 Kennedy Flat Rd Jackson CA 95642-9576 Ph: (209) 223-2286 | Victory Village Inc 12408 Kennedy Flat Rd Jackson CA 95642-9576 Ph: (209) 223-2286 |
| NPI Number | 1871490953 |
|---|---|
| Provider Enumeration Date | 10/22/2026 |
| Last Update Date | 10/22/2026 |
| Certification Date | 10/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871490953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
Helene Malabed, DO & Terrence C. Turpen, Pa-c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Court St. Suite 210, Jackson, CA 95642 Phone: 209-223-7784 Fax: 209-223-7783 |
Mact Medical Jackson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12140/12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403 |
M a C T Health Board, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11333 Prospect Dr, Jackson, CA 95642 Phone: 209-257-2450 Fax: 209-660-2040 |
Jackson Rancheria Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12222 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-8428 Fax: 209-223-8429 |
Amador Family Physicians Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-2030 Fax: 209-223-2303 |
M a C T Health Board, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11321 Prospect Dr Ste 6, Jackson, CA 95642 Phone: 209-257-2450 Fax: 209-660-2040 |