Organization
VICTORY MEDICAL TRANSPORTATION, INC.
Active
Other names
Victory EMS
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA MALOOF (TREASURER)
(469) 636-5055
Entity
Organization
Contact information
Practice address
3604 S BANNER ST STE 102, BOISE, ID 83709-4316
(208) 401-1400
(208) 401-1401
Mailing address
29222 RANCHO VIEJO RD STE 127, SAN JUAN CAPISTRANO, CA 92675-1049
(949) 426-3767
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/10/2018
Last updated
06/25/2024
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