Provider Demographics
NPI:1457715021
Name:VICTORY TRANSPORT EXPRESS INC
Entity Type:Organization
Organization Name:VICTORY TRANSPORT EXPRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARTHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-971-9333
Mailing Address - Street 1:3223 ROBERTS ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-3137
Mailing Address - Country:US
Mailing Address - Phone:989-971-9333
Mailing Address - Fax:989-401-1309
Practice Address - Street 1:3223 ROBERTS ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-3137
Practice Address - Country:US
Practice Address - Phone:989-971-9333
Practice Address - Fax:989-401-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)