Provider Demographics
NPI:1790717197
Name:ORION HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ORION HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DUKE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NAIPOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-683-2323
Mailing Address - Street 1:1841 N ROCK ROAD CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-4202
Mailing Address - Country:US
Mailing Address - Phone:316-425-6000
Mailing Address - Fax:316-425-6004
Practice Address - Street 1:1841 N ROCK ROAD CT
Practice Address - Street 2:SUITE 200
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-4202
Practice Address - Country:US
Practice Address - Phone:316-425-6000
Practice Address - Fax:316-425-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5-01754OtherSTATE BOARD OF PHARMACY
KS118101OtherBC/BS ID#
KS4773740001Medicare ID - Type Unspecified