1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Ambulance
  6. NPI Profile

VICTORY EMS
NPI 1770058265
Ambulance - Land Transport in Boise, ID

Active since October 10, 2018CLIA 13D2175061 · Waiver
3604 S BANNER ST STE 102, BOISE, ID 83709(208) 401-1400(208) 401-1401 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2024, Jun 14, 2023, Oct 18, 2022 and 3 more (6 updates tracked since 2018).

About Victory Ems NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY EMS (NPI 1770058265) is a healthcare organization registered as a land transport in Boise, Idaho and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Tangina Maloof, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1770058265
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVICTORY MEDICAL TRANSPORTATION, INC.
Location Address3604 S BANNER ST STE 102Boise, ID 83709-4316
Mailing Address29222 Rancho Viejo Rd Ste 127San Juan Capistrano, CA 92675-1049 · (949) 426-3767
Phone(208) 401-1400
Fax(208) 401-1401
Organization SubpartNo
Authorized OfficialTangina MaloofTreasurer · (469) 636-5055
Enumeration DateOctober 10, 2018
Last NPPES UpdateJune 25, 20246 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1770058265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X
Also ListedAmbulance · Air TransportTaxonomy 3416A0800X
Also ListedSecured Medical Transport (VAN)Taxonomy 343800000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
3604 S BANNER ST STE 102, Boise, ID 83709
Open in Google Maps ↗

Other Names 1

Doing Business AsVictory Ems

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2175061

Victory Ems · Boise, ID
Active · expires Nov 13, 2027
CLIA Number13D2175061
Laboratory TypeAmbulance
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorTravis W. Spencer
Laboratory Phone(208) 321-1703
Laboratory LocationVictory Ems3604 S Banner Ave Ste 102, Boise, ID 83709
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
7,972 services448 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
232 services202 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
193 services178 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
70 services66 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
31 services19 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
12 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORY MEDICAL TRANSPORTATION
Non-emergency Medical Transport (VAN)
3604 S BANNER ST STE 102
BOISE, ID 83709
Ada County (208) 321-1703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Medical Transportation, Inc.'s NPI number?

The NPI number for Victory Medical Transportation, Inc. is 1770058265. It was assigned to this organization in the NPPES registry on October 10, 2018. The provider is doing business as Victory Ems.

Where is Victory Medical Transportation, Inc. located?

Victory Medical Transportation, Inc. is located at 3604 S Banner St Ste 102, Boise, ID 83709. The listed phone number is (208) 401-1400.

What is Victory Medical Transportation, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Victory Medical Transportation, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2175061) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Victory Medical Transportation, Inc. accept?

Health plans from PacificSource Health Plans list Victory Medical Transportation, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victory Medical Transportation, Inc. was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.