Provider Demographics
NPI:1407546583
Name:ORION MEDICAL CARE, LLC
Entity Type:Organization
Organization Name:ORION MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEHL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-577-1613
Mailing Address - Street 1:505 W HOLLIS ST STE 106
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1386
Mailing Address - Country:US
Mailing Address - Phone:603-577-1613
Mailing Address - Fax:
Practice Address - Street 1:505 W HOLLIS ST STE 106
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1386
Practice Address - Country:US
Practice Address - Phone:603-577-1613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty