VICTORY EMS
NPI 1770058265
Ambulance - Land Transport in Boise, ID
NPI Status: Active since October 10, 2018
Contact Information
3604 S BANNER ST STE 102
BOISE, ID
ZIP 83709
Phone: (208) 401-1400
Fax: (208) 401-1401
- Organization
- Ambulance
- Land Transport
- Accepts Insurance
- CLIA Number: 13D2175061
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 11-13-2027
About VICTORY EMS
This page provides the complete NPI Profile along with additional information for Victory Ems, a provider established in Boise, Idaho operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1770058265 assigned on October 2018. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Victory Ems. The authorized official of this NPI record is Tangina Maloof (Treasurer)
- NPI
- 1770058265
- Provider Legal Name
- VICTORY MEDICAL TRANSPORTATION, INC.
- Other Organization Name
- VICTORY EMS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3604 S BANNER ST STE 102 BOISE, ID 83709
- Location Phone
- (208) 401-1400
- Location Fax
- (208) 401-1401
- Mailing Address
- 29222 RANCHO VIEJO RD STE 127 SAN JUAN CAPISTRANO, CA 92675
- Mailing Phone
- (949) 426-3767
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2018
- Last Update Date
- 06-25-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ambulance Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 341600000X | Transportation Services | Ambulance | |
| 2 | 3416A0800X | Transportation Services | Ambulance | |
| 3 | 343800000X | Transportation Services | Secured Medical Transport (VAN) | |
| 4 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
Ambulance service, basic life support, emergency transport (bls-emergency)
Ambulance service, basic life support, non-emergency transport, (bls)
Ground mileage, per statute mile
Specialty care transport (sct)
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.
This service was performed 171 times for 159 patientsAmbulance 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.
This service was performed 37 times for 36 patientsAmbulance 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.
This service was performed 210 times for 190 patientsBasic 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.
This service was performed 127 times for 117 patientsGround 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.
This service was performed 12,624 times for 495 patientsSpecialty 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.
This service was performed 28 times for 28 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2175061
- Facility Type
- Ambulance
- Certificate Effective Date
- November 14, 2025
- Certificate Expiration Date
- November 13, 2027
- Laboratory Director
- TRAVIS W. SPENCER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Victory Ems to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1770058265, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BOISE, ID 83709
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770058265, enumerated as an "organization" on October 10, 2018.
The provider is located at 3604 S BANNER ST STE 102 BOISE, ID 83709 and the phone number is (208) 401-1400.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.
