Provider Demographics
NPI:1669656963
Name:PRIORITY MEDICAL CARE, INC.
Entity Type:Organization
Organization Name:PRIORITY MEDICAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:FUSILIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-232-5002
Mailing Address - Street 1:106 OIL CENTER DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2482
Mailing Address - Country:US
Mailing Address - Phone:337-232-5002
Mailing Address - Fax:337-232-5017
Practice Address - Street 1:106 OIL CENTER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2482
Practice Address - Country:US
Practice Address - Phone:337-232-5002
Practice Address - Fax:337-232-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7229251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health