Provider Demographics
NPI:1235307752
Name:ORION AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:ORION AMBULANCE SERVICE LLC
Other - Org Name:ORION EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-864-7900
Mailing Address - Street 1:448 W 19TH ST
Mailing Address - Street 2:SUITE 134
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3914
Mailing Address - Country:US
Mailing Address - Phone:713-864-7900
Mailing Address - Fax:713-864-7901
Practice Address - Street 1:1400 W 20TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1642
Practice Address - Country:US
Practice Address - Phone:713-864-7900
Practice Address - Fax:713-864-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10001243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport