NPI 1326499419
Victory Medical Transportation
Practice location
- Address
- 3604 S Banner St STE 102, Boise, ID 83709-4316
- Phone
- (208) 321-1703
Authorised official
- Name
- Tangina R Edwards
- Title
- Treasurer
- Phone
- (469) 636-5055
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1326499419
- Entity type
- Organization
- NPI issued
- 29 Jun 2016
- Record last updated
- 25 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.