Victory Transports Inc

Primary specialty

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

Legal business name

VICTORY TRANSPORTS INC

Practice address

169 Knobs LN
Cedar Bluff, VA 24609-8279

Phone

(276) 880-1410

Fax

(276) 880-2079

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Ricky Roark

Title

Owner

Phone

(276) 880-1410

Specialties & licenses 1

Addresses

Other names 1

• Darlene Jackson Taxi Former legal business name

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1669019196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "ROSEDALE",
            "state": "VA",
            "postal_code": "242800533",
            "telephone_number": "276-880-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 KNOBS LN",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246098279",
            "telephone_number": "276-880-1410",
            "fax_number": "276-880-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY TRANSPORTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-880-1410"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Darlene Jackson Taxi",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tiffany Lynn Thebeau
• Debra Janine Thomas, MD
• Kristen Denise Thompson-Whitt, MSN, APRN, FNP
• Justin Craig Trout, LPC
• Misty Dawn Vance, LCSW
• Krista Vilacha
• Vital Care of Southwest Virginia, Inc.
• Vital Care Southwest VA, Inc
• Vital Care Southwest Virginia, Inc.
• Whitley Gabrielle Wagner, LMHP-R

• Non-emergency Medical Transport (VAN) in Cedar Bluff, VA
• Providers in Cedar Bluff, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.