Victory Athletic Exchange
NPI 1679393250ActiveOrganization· Case Management· Vancouver, WA
Case Management in Vancouver, Washington, registered in NPPES in October 2024. The authorized official on file is Austin Jacob Candanoza, Executive Director.
Overview
| NPI | 1679393250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2024 |
| Last updated in NPPES | Oct 16, 2024 |
| Certified by provider | Oct 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 16 Case Management providers in Vancouver · All Case Management providers in Washington