Victory Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

VICTORY MEDICAL TRANSPORTATION

Practice address

3604 S Banner St Ste 102
Boise, ID 83709-4316

Phone

(208) 321-1703

NPI assigned

Jun 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tangina R Edwards

Title

Treasurer

Phone

(469) 636-5055

Specialties & licenses 1

Addresses

Tax ID family

Victory EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Victory Medical Transportation, Inc.

  dba Victory EMS

  • Land Ambulance
  • Boise, ID
  • NPI 1770058265
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1326499419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 S BANNER ST STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094316",
            "telephone_number": "208-321-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 S BANNER ST STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094316",
            "telephone_number": "208-321-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vibra Hospital of Boise LLC (Vibra Hospital of Boise)
• Amber M Vickers, PA-C
• Jenny Vickhammer, BCBA
• Cymbria Arielynn Victor
• Devon Victorine
• Victory Medical Transportation, Inc. (Victory EMS)
• Victory Surgical Services PLLC
• Elizabeth Anne Videen, LPC
• Laura Breanna Videtich, DDS
• Cristina Maria Vieira, CSWA

• Non-emergency Medical Transport (VAN) in Boise, ID
• Providers in Boise, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.