Provider Demographics
NPI:1538781331
Name:S7 LLC
Entity type:Organization
Organization Name:S7 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PUSTOVOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-470-8424
Mailing Address - Street 1:PO BOX 4020
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95611-4020
Mailing Address - Country:US
Mailing Address - Phone:916-470-8424
Mailing Address - Fax:916-239-6538
Practice Address - Street 1:5753 AUBURN BLVD STE 23
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-2953
Practice Address - Country:US
Practice Address - Phone:916-470-8424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)