Victory Transport North

Primary specialty

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

License

374426 Issued in MN

Legal business name

VICTORY TRANSPORT NORTH

Practice address

10907 4TH St NE
Blaine, MN 55434

Phone

(763) 413-1555

Fax

(763) 413-1575

NPI assigned

Sep 8, 2008

Last updated

Sep 8, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

VICTORY TRANSPORT NORTHAs reported in NPPES

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

Authorized official

Name

Cheryl Lynn Brescancini

Title

Owner

Phone

(763) 413-1555

Specialties & licenses 1

Addresses

Part of

Victory Transport North

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1356599914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 4TH ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-413-1555",
            "fax_number": "763-413-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 4TH ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-413-1555",
            "fax_number": "763-413-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY TRANSPORT NORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORY TRANSPORT NORTH",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "BRESCANCINI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-413-1555"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "374426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughn Chiropractic PLLC (Healthsource of Blaine Chiropractic & Progressive Rehab)
• Robert Lloyd Vaughn III, D.C. ATC. ATR
• Leonard Verbeke
• Verdan PA (Community Chiropractic Center)
• Anthony Joseph Vertalino, P.T.
• Vision World Inc (Vision World)
• Visionworks, Inc. (Visionworks)
• Vital Agency LLC
• Suzette Vizenor
• VLW LLC

• Non-emergency Medical Transport (VAN) in Blaine, MN
• Providers in Blaine, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.