1588728240 NPI number — ORION EMERGENCY SERVICES, INC.

Table of content: (NPI 1588728240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588728240 NPI number — ORION EMERGENCY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORION EMERGENCY SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588728240
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26 OLD BROOK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHREWSBURY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01545-5409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-845-0127
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 PROSPECT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01757-3003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-422-2250
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BURKE
Authorized Official First Name:
MARY
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-845-0127

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 613214 . This is a "HARVARD PILGRIM HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 701543 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: M14038 . This is a "BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0008333 . This is a "NHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8436 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: CN5984 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000021079 . This is a "BMC HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9741968 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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