NPI 1770058265 · live from the CMS NPI Registry
Victory Medical Transportation, INC.
Ambulance, Land Transport in Boise, ID. National Provider Identifier 1770058265, active.
NPI record
| NPI | 1770058265 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 3604 S Banner St Ste 102, Boise, ID 83709 |
| Practice phone | 208-401-1400 |
| Mailing address | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 |
| Enumerated | October 10, 2018 |
| Last updated | June 25, 2024 |
| Authorized official | Tangina Maloof, Treasurer |
| Other names | Victory Ems |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance | 341600000X | — |
| Ambulance, Air Transport | 3416A0800X | — |
| Ambulance, Land Transport primary | 3416L0300X | — |
| Secured Medical Transport (VAN) | 343800000X | — |
| Non-emergency Medical Transport (VAN) | 343900000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.