VICTORY MEDICAL TRANSPORTATION INC. NPI 1770058265

NPI Information

NPI: 1770058265
Provider Name: VICTORY MEDICAL TRANSPORTATION, INC.

Doing Business As: VICTORY EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
655 N FIVE MILE RD
BOISE, ID
ZIP 83713
Phone: (208) 401-1400
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VICTORY MEDICAL TRANSPORTATION, INC. is a land transport ambulance in Boise, ID. VICTORY MEDICAL TRANSPORTATION, INC. NPI is 1770058265. The provider is registered as an organization entity type.
The provider Is Doing Business As Victory Ems.

The provider's business location address is:

655 N FIVE MILE RD
BOISE, ID
ZIP 83713-025
Phone: (208) 401-1400
Fax: (208) 401-1401

The provider's authorized official is Tangina Maloof .
The authorized official title is Legal Resource and has the following contact phone number (469) 636-5055.

The CLIA number assigned to this NPI record is 13D2175061 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 6/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	343800000X	Secured Medical Transport (VAN)		No
2	343900000X	Non-emergency Medical Transport (VAN)		No
3	341600000X	Ambulance		No
4	3416A0800X	Ambulance	Air Transport	No
5	3416L0300X	Ambulance	Land Transport	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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