Organization Active NPI

Elbrus Empire, LLC

  • Non-emergency Medical Transport (VAN)
  • Plymouth, MN
National Provider Identifier
1649447905
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ELBRUS EMPIRE, LLC
Practice address
12800 Industrial Park Blvd Ste 150B
Plymouth, MN 55441-3949
Phone
(763) 450-4240
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
J Eagle Vang
Title
Manager
Phone
(763) 450-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

12800 Industrial Park Blvd Ste 150B
Plymouth, MN 55441-3949

Mailing address

12800 Industrial Park Blvd Ste 150B
Plymouth, MN 55441-3949
Phone (763) 450-4240

National Provider Directory

National Provider Directory

Locations

12800 Industrial Park Blvd
Ste 150B
Plymouth, MN 55441
Phone (763) 450-4240

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1649447905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD STE 150B",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413949",
            "telephone_number": "763-450-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD STE 150B",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413949",
            "telephone_number": "763-450-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBRUS EMPIRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "EAGLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-450-4240"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.