Sirius Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

STS 310211 Issued in MN

Legal business name

SIRIUS INC

Practice address

8700 W 36TH St # F217
St Louis Park, MN 55426-3906

Phone

(612) 850-4343

Fax

(952) 933-9779

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Miss Zhanna Dobrovetsky

Title

President

Phone

(763) 577-0012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1679704332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 46TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463493",
            "telephone_number": "763-577-0012",
            "fax_number": "763-577-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W 36TH ST # F217",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263906",
            "telephone_number": "612-850-4343",
            "fax_number": "952-933-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "DOBROVETSKY",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-577-0012",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "STS 310211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "08Z65S1",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.