Provider Demographics
NPI:1912244971
Name:ORION AMBULANCE
Entity Type:Organization
Organization Name:ORION AMBULANCE
Other - Org Name:ORION AMBULANCE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:SEBBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-411-5530
Mailing Address - Street 1:56 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08882-1863
Mailing Address - Country:US
Mailing Address - Phone:888-411-5530
Mailing Address - Fax:
Practice Address - Street 1:56 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:SOUTH RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08882-1863
Practice Address - Country:US
Practice Address - Phone:888-411-5530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1212076341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance